摘要
目的探讨丘脑出血并发尿崩症的临床特点及诊疗经验。方法回顾性分析1例丘脑出血并发尿崩症患者的临床资料,并对相关文献进行复习。结果本例患者为右侧丘脑出血,出血量10 m L,血肿周围水肿明显。因密切监测尿量发现患者发病第4 d出现尿崩,24 h尿量达5 100 m L;及时采用醋酸去氨加压素等治疗后尿量恢复至正常水平。结合文献报道,考虑丘脑出血并发尿崩的机制可能与丘脑出血量及脑水肿程度等相关。结论丘脑出血量大、水肿重的患者容易出现尿崩症,早期发现、早期治疗,大多预后良好。
Objective To investigate the clinical characteristics,the diagnosis and treatment of diabetes insipidus subsequent to thalamic hemorrhage. Methods The clinical data of 1 patient with secondary diabetes insipidus of right thalamic hemorrhage was analyzed retrospectively and the relevant literature were reviewed. Results The patient was diagnosed right thalamic hemorrhage,volume of 10 m L with obvious edema. Due to closely monitoring the amount of urine,the urine volume 5 100/24 h,diabetes insipidus was detected at the fourth day of the occurrence timely. The urine volume returned to normal level after the prompt treatment with desmopressin acetate. According to the literature reports,the mechanism of diabetes insipidus associated with thalamic hemorrhage may be related to the volume of hematoma and the degree of brain edema. Conclusion Large volume of hematoma and obvious edema of thalamic hemorrhage patients are prone to diabetes insipidus,early detection and early treatment are mostly good prognosis.
作者
张列祥
郑晶
陆海
丁宇
ZHANG Lie-xiang;ZHENG Jing;LU Hai;(Department of Neurosurgery, Suqian People＇s Hospital, Nanjing Drum Tower Hospital Group, Suqian 223800, Chin)
出处
《临床神经外科杂志》
CAS
2018年第1期68-70,共3页
Journal of Clinical Neurosurgery
关键词
丘脑出血
脑水肿
尿崩症
thalamic hemorrhage
edema
diabetes insipidus
