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脑外伤后迟发性尿崩18例的临床分析

Clinical analysis of 18 cases with delayed onset diabetes insipidus after traumatic brain injury

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【作者】 颜山李钢韩奖励于正涛

【Author】 YAN Shan,LI Gang,HAN Jiang-li,YU Zheng-tao(Department of Neurosurgery,People’s Hospital in Haikou Haikou 570208,China)

【机构】 海口市人民医院神经外科

【摘要】 目的:探讨脑外伤后迟发性尿崩的发病机制、诊断和治疗。方法:回顾性分析18例脑外伤后迟发性尿崩症的临床资料。结果:18例患者经过治疗,16例的尿量均恢复正常,其中1周内控制者9例,2~3周控制者4例,3周以上控制者3例,2例需终生替代治疗。结论:脑外伤的迟发性尿崩症多为暂时性,只要诊断及时、治疗得当,预后良好。

【Abstract】 Objective:To explore the pathogenesis,diagnosis and treatment of delayed onset diabetes insipidus after traumatic brain injury.Methods:Retrospectively analyzed the data of 18 cases with delayed diabetes insipidus after traumatic brain injury.Results:All patients had normal uterine,of which 9 cases had disease status in control in 1 week,4 cases in 2~3 weeks,3 cases in more than 3 weeks,and 2 patients required life-long replacement therapy.Conclusion:Delayed diabetes insipidus are mostly temporary.Satisfactory prognosis can be obtained after timely diagnosis and proper treatment.

【关键词】 颅脑外伤尿崩症治疗
【Key words】 Traumatic brain injuryDiabetes insipidusTreatment
【基金】 海南医学院科研基金资助学报项目(0020100035)~~
  • 【文献出处】 海南医学院学报 ,Journal of Hainan Medical University , 编辑部邮箱 ,2010年02期
  • 【分类号】R584.3;R651.15
  • 【被引频次】2
  • 【下载频次】95
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