Rothschild M, Shenkman L
JAMA. 1977 Aug 15;238(7):620-1.
Diabetes insipidus following cardiac arrest and hypoxemic encephalopathy occurred in two patients. In both, severe hypoxemic brain damage was followed within three days by clinical and laboratory features of diabetes insipidus, which were corrected by administration of exogenous vasopressin. Hypothalamic injury resulting in diabetes insipidus should be considered in the differential diagnosis of polyuria and dehydration occurring in critically ill patients who have suffered cardiorespiratory arrest.
两名患者在心脏骤停和缺氧性脑病后发生了尿崩症。在这两名患者中,严重的缺氧性脑损伤在三天内出现了尿崩症的临床和实验室特征,通过给予外源性加压素得以纠正。对于发生心肺骤停的重症患者出现的多尿和脱水,在鉴别诊断时应考虑下丘脑损伤导致尿崩症的情况。