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前列腺素合成酶抑制剂在肾性尿崩症治疗中的应用

Prostaglandin synthetase inhibitors in the treatment of nephrogenic diabetes insipidus.

作者信息

Monn E

出版信息

Acta Paediatr Scand. 1981 Jan;70(1):39-42. doi: 10.1111/j.1651-2227.1981.tb07170.x.

DOI:10.1111/j.1651-2227.1981.tb07170.x
PMID:6782828
Abstract

Two boys with classical NDI have been treated with prostaglandin synthetase inhibitors. A boy, 7 years old, was treated with low solute-load diet and diuretics from his first year of life. His main complaint was nocturnal enuresis. He responded within one day to indomethacin 25 mg twice daily, and the urine volume was reduced from 4 1/2--6 litre/day to 2 1/2--3 litre/day. There is almost no enuresis. A boy, 7 months old, had a basal daily urine volume of 1.6--1.8 litre. A low solute-load diet and diuretics reduced urine volume to 1 litre, but he still needed gastric tube feeding. With the addition of acetylsalicylic acid, 75 mg three times daily, the urine volume was reduced to 600 ml, and he needed no more tube feeding. Both boys are doing well on the above-mentioned regimens, and no side effects have been observed after 1 year of treatment.

摘要

两名患有典型肾性尿崩症(NDI)的男孩接受了前列腺素合成酶抑制剂治疗。一名7岁男孩从1岁起就接受低溶质负荷饮食和利尿剂治疗。他的主要症状是夜间遗尿。他在开始每天两次服用25毫克吲哚美辛后的一天内就有了反应,尿量从每天4.5 - 6升减少到2.5 - 3升。几乎没有遗尿现象了。一名7个月大的男孩基础日尿量为1.6 - 1.8升。低溶质负荷饮食和利尿剂使尿量减少到1升,但他仍需要鼻饲。每天三次添加75毫克乙酰水杨酸后,尿量减少到600毫升,并且他不再需要鼻饲。两名男孩在上述治疗方案下情况良好,治疗1年后未观察到副作用。

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Prostaglandin synthetase inhibitors in the treatment of nephrogenic diabetes insipidus.前列腺素合成酶抑制剂在肾性尿崩症治疗中的应用
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引用本文的文献

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The Use of Indomethacin for Nocturnal Enuresis in Children With Nephrogenic Diabetes Insipidus: A Case Report and Review of the Literature.吲哚美辛在肾性尿崩症儿童夜间遗尿症中的应用:一例报告及文献复习
Can J Kidney Health Dis. 2022 Jul 26;9:20543581221114693. doi: 10.1177/20543581221114693. eCollection 2022.
2
Pathophysiology, diagnosis and management of nephrogenic diabetes insipidus.肾源性尿崩症的病理生理学、诊断和治疗。
Nat Rev Nephrol. 2015 Oct;11(10):576-88. doi: 10.1038/nrneph.2015.89. Epub 2015 Jun 16.
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Diuretics in pediatrics : current knowledge and future prospects.
儿科利尿剂:当前认知与未来展望
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Nephrogenic diabetes insipidus presenting with developmental delay and intracranial calcification.伴有发育迟缓及颅内钙化的肾性尿崩症
Indian J Pediatr. 2005 Jun;72(6):527-8. doi: 10.1007/BF02724433.
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Treatment of nephrogenic diabetes insipidus with hydrochlorothiazide and amiloride.氢氯噻嗪和阿米洛利治疗肾性尿崩症
Arch Dis Child. 1999 Jun;80(6):548-52. doi: 10.1136/adc.80.6.548.