Singh S, Padi M H, Bullard H, Freeman H
Br J Psychiatry. 1985 Feb;146:127-31. doi: 10.1192/bjp.146.2.127.
Compulsive water drinking is associated with a broad spectrum of psychopathology, from mild neurosis to psychosis. Since the normal kidney is capable of excreting large volumes of fluid rapidly, water intoxication requires both a pathological basis and a psychiatric explanation of why so much water is being taken. Excessive water consumption can be dangerous, so that the fluid intake of patients with a history of polyuria together with a low urinary specific gravity should be closely observed. Four cases of water intoxication resulting from psychogenic polydipsia are described, three of them in chronic schizophrenics, where inappropriate ADH secretion might represent part of the psychosis.
强迫性饮水与广泛的精神病理学相关，从轻度神经症到精神病。由于正常肾脏能够迅速排出大量液体，水中毒既需要病理基础，也需要对为何摄入如此多水分作出精神科解释。过量饮水可能很危险，因此对于有多尿病史且尿比重低的患者，应密切观察其液体摄入量。本文描述了4例因精神性烦渴导致的水中毒病例，其中3例为慢性精神分裂症患者，其抗利尿激素分泌不当可能是精神病的一部分表现。
