[1]张列祥,郑晶,陆海,等.丘脑出血并发尿崩症1例并文献复习[J].临床神经外科杂志,2018,15(01):68-70.[doi:10.3969/j.issn.1672-7770.2018.01.017]
 ZHANG Lie-xiang,ZHENG Jing,LU Hai,et al.Diabetes insipidus following thalamic hemorrhage(report of a case and review of literature)[J].Journal of Clinical Neurosurgery,2018,15(01):68-70.[doi:10.3969/j.issn.1672-7770.2018.01.017]
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丘脑出血并发尿崩症1例并文献复习()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年01期
页码:
68-70
栏目:
临床研究
出版日期:
2018-02-15

文章信息/Info

Title:
Diabetes insipidus following thalamic hemorrhage(report of a case and review of literature)
作者:
张列祥郑晶陆海丁宇
223800 宿迁,南京鼓楼医院集团宿迁市人民医院神经外科
Author(s):
ZHANG Lie-xiangZHENG JingLU Haiet al.
Department of Neurosurgery,Suqian People's Hospital,Nanjing Drum Tower Hospital Group,Suqian 223800,China
关键词:
丘脑出血 脑水肿 尿崩症
Keywords:
thalamic hemorrhageedemadiabetes insipidus
分类号:
R743.3
DOI:
10.3969/j.issn.1672-7770.2018.01.017
文献标志码:
D
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 mL,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 mL;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。
Abstract:
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 mL 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.

相似文献/References:

[1]张光绪,鲁虎臣,王成斌,等.低聚体原花青素对实验性SAH大鼠早期脑损伤的保护作用研究[J].临床神经外科杂志,2017,14(03):206.
 ZHANG Guang-xu,LU Hu-cheng,WANG Cheng-bin,et al.Protective effects of Oligomeric Proantho Cyanidins on early brain injury in experimental SAH rats[J].Journal of Clinical Neurosurgery,2017,14(01):206.

更新日期/Last Update: 1900-01-01