论文部分内容阅读
尿崩症有垂体性、肾性之分,临床上以后者多见,其原因较多,而由原发性醛固酮增高引起者较少,我们报告2例。 例1,女性35岁,多尿、烦渴、多饮、表情淡漠,乏力6个月。每日总饮水量达5升以上,总尿量6升左右。曾在外院诊为“尿崩症”,给予双氢克尿塞、尿崩停治疗,无效而转来我院。体检:T36.6℃,BP20/13kPa,表情淡漠,心、肺、肝、脾及四肢指趾均正常。实验室检查:尿相对密度为1.001,糖(-)、蛋白(-)、血钾2.8～3.0mmol/L,血钠、尿素氮、肌酐、血尿酸、钙、血糖正
Diabetes insipidus pituitary, renal points, the more common in the latter clinical, its more reasons, but caused by increased primary aldosterone less, we report 2 cases. Example 1, 35-year-old female, polyuria, polydipsia, drink more, indifferent expression, fatigue 6 months. Total daily drinking water of 5 liters or more, total urine output of about 6 liters. Have been diagnosed in the hospital as “diabetes insipidus”, given hydrochlorothiazide, diabetes insipidus treatment, invalid and transferred to our hospital. Physical examination: T36.6 ℃, BP20 / 13kPa, apathy, heart, lung, liver, spleen and limbs toes were normal. Laboratory tests: urine relative density of 1.001, sugar (-), protein (-), potassium 2.8 ~ 3.0mmol / L, serum sodium, urea nitrogen, creatinine, serum uric acid, calcium,