Horev Z, Cohen A H
Pediatric Ambulatory Medical Center, Petah Tiqva, Israel.
Clin Pediatr (Phila). 1994 Apr;33(4):209-13. doi: 10.1177/000992289403300404.
The management and follow-up of five patients with asymptomatic compulsive water drinking is described. Three out of the five patients were female and two were male. The age range was 6 to 20 months. All the patients presented with polyuria or polydipsia and urine osmolalities of 39 to 112 mOsm/L. The daily fluid intake ranged from 3.5 to 5 L, and the urine output was 11 to 14 mL/kg/hr. Significant improvement was noticed after a gradual weaning process. As fluid intake returned to normal, urine osmolalities reached values between 210 and 500 mOsm/L after 4 weeks, and between 630 and 800 mOsm/L after 8 weeks. No relapse was noted during the 6- to 24-month follow-up period. Pediatricians should be aware of this potentially dangerous--yet not uncommon--habit.
本文描述了对五例无症状强迫性饮水患者的管理及随访情况。五例患者中三例为女性，两例为男性。年龄范围在6至20个月。所有患者均有多尿或烦渴症状，尿渗透压为39至112 mOsm/L。每日液体摄入量在3.5至5升之间，尿量为11至14 mL/kg/小时。在逐渐断奶过程后，病情有显著改善。随着液体摄入量恢复正常，4周后尿渗透压达到210至500 mOsm/L，8周后达到630至800 mOsm/L。在6至24个月的随访期内未观察到复发情况。儿科医生应意识到这种潜在危险但并不罕见的习惯。
