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基于尿排泄昼夜模式的垂体手术后多尿症管理。

Management of polyuria subsequent to pituitary surgery based on the diurnal pattern of urinary excretion.

作者信息

Fujii T, Misumi S, Takeda F

出版信息

Surg Neurol. 1985 Jan;23(1):49-55. doi: 10.1016/0090-3019(85)90159-4.

DOI:10.1016/0090-3019(85)90159-4
PMID:3964977
Abstract

Polyuria subsequent to pituitary surgery was studied in 64 cases. Most cases of postoperative polyuria were due to diabetes insipidus. These cases showed a triphasic pattern in daily urinary volume. Observation of hourly urinary volume in polyuria revealed four diurnal patterns of urinary excretion: rhythmic, continuous, transient, and unspecific. Clinical observation of diurnal patterns has an advantage, in terms of simplicity of procedure, in immediately determining the nature of the polyuria, prognosticating diabetes insipidus, and eliminating inappropriate procedures in treatment. Indomethacin suppository is considered to be a favorable agent in reducing polyuria without disturbing the diurnal pattern in diabetes insipidus.

摘要

对64例垂体手术后出现的多尿情况进行了研究。术后多尿的大多数病例是由尿崩症引起的。这些病例的每日尿量呈现出三相模式。对多尿患者每小时尿量的观察揭示了四种日间排尿模式:节律性、持续性、短暂性和非特异性。从操作简便性方面来看,对日间模式进行临床观察在立即确定多尿的性质、预测尿崩症以及避免不适当的治疗程序方面具有优势。吲哚美辛栓剂被认为是一种在不干扰尿崩症日间模式的情况下减少多尿的有利药物。

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引用本文的文献

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Different types of postoperative diabetes insipidus and the relation to basal and stimulated serum prolactin levels in patients with hypothalamo-hypophyseal tumorous lesions.下丘脑-垂体肿瘤性病变患者不同类型的术后尿崩症及其与基础和刺激后血清催乳素水平的关系。
Acta Neurochir (Wien). 1990;104(3-4):110-20. doi: 10.1007/BF01842828.