论文部分内容阅读
病例报告男性,19岁,于1973年11月因烦渴史两年初诊。确诊为自发性尿崩症,两个月前一直对加压素(鞣酸加压素油)及其他抗利尿药反应良好。此次,尽管每大注射加压素,但烦渴及多尿症(每天7—8立升)持续。静脉肾盂X线片显示输尿管显著扩张。头颅X线片示蝶鞍正常,松果体稍钙化。肌酸酐清除率121.5毫升。血压135/85毫米汞柱,血尿素氮每100毫升20毫克。治疗前尿容量每小时420毫升(每天9~10.2立升),尿比重1.000。血清电解质及尿17—氧类固醇在正常限度内。
Case report Male, 19 years old, in November 1973 due to polydipsia history of two years of first visit. Confirmed as spontaneous diabetes insipidus, two months ago has been vasopressin (tannin pressure oil) and other antidiuretic drugs responded well. This time, despite the large injection of vasopressin, polydipsia and polyuria (7-8 liters per day) continued. Intravenous pelvic X-ray showed significant ureteral expansion. Skull X-ray showed sella normal, pineal slightly calcified. Creatinine clearance 121.5 ml. Blood pressure 135/85 mm Hg, blood urea nitrogen 20 mg per 100 ml. Urine volume before treatment 420 ml per hour (9 ~ 10.2 liters per day), urine specific gravity 1.000. Serum electrolytes and urinary 17-oxysterols are within normal limits.