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72例多饮多尿综合征中,28例为垂体性尿崩症。其中13例为继发性尿崩症。对病因不明考虑为垂体性尿崩症尤年龄较大者,应长期随访,并尽可能行全面检查如头颅X 线摄片,脑电图,眼底检查,最好行脑CT 检查。肾性尿崩症多为男孩,起病年龄较早,除多饮多尿外伴有高氯性代谢性中毒,硷性尿者,应考虑有远端肾小管性酸中毒并发肾性尿崩症。婴幼儿多饮多尿症多见于精神性烦渴多饮综合征,多与喂养不当、突然断奶、炎症、高热后长期大量饮水造成习惯性多饮进而多尿有关。
72 cases of polydipsic polyuria syndrome, 28 cases of pituitary diabetes insipidus. Of these, 13 were secondary to diabetes insipidus. Unidentified for the etiology of pituitary diabetes insipidus, especially those older, should be long-term follow-up, and as far as possible to conduct a comprehensive examination such as skull X-ray, EEG, fundus examination, the best brain CT examination. Renal diabetes insipidus are mostly boys, older age, in addition to drink more urine with hyperchlorinated metabolic poisoning, alkaline urine, should consider the distal renal tubular acidosis complicated by renal diabetes insipidus disease. Infant polyhydramnios more common in psychiatric polydipsia syndrome, and more improper feeding, sudden weaning, inflammation, after a long period of high fever caused by a large number of regular drinking habit of polyhydration and more urine.