论文部分内容阅读
妊娠期尿崩症很罕见,文献报告每10万名孕妇中约有2~6人合并尿崩症〔1〕。我院共诊治3例,现报告如下。例1,女,37岁。因妊娠9月,烦渴,多饮,多尿3月,不规则腹胀痛1天,于1986年5月7日入院。患者自怀孕6月出现烦渴,多饮,多尿,逐渐加重,每日饮水量达7000多毫升,尿量6000~7000毫升,因无其他不适,未就医。患者曾于1981年,1983年,1985年初孕至2~3月,分别自然流产一次,有轻微多饮、多尿症状,流产后缓解。体检:T、P、R均正常,BP13.5/9.5kPa。发育正常,营养中等。心肺无异常,腹膨隆,子宫底高度30Cm,胎位LOA,胎心140次/分。实验室检查:Hb102g/L,白细胞及分类计数正常,24小时尿量7000多毫升,比重1.000~1.004,尿蛋白(-),
Gestational diabetes insipidus is rare, the literature reports that about 2 to 6 per 100,000 pregnant women with diabetes insipidus 〔1〕. Our hospital a total of 3 cases, are as follows. Example 1, female, 37 years old. Due to pregnancy in September, polydipsia, polydipsia, polyuria in March, irregular abdominal pain for 1 day, on May 7, 1986 admission. Patients since June pregnancy polydipsia, polydipsia, polyuria, and gradually increased daily volume of more than 7000 ml, urine output 6000 ~ 7000 ml, because there is no other discomfort, not medical treatment. Patients in 1981, 1983, 1985 early pregnancy to 2 to 3 months, were spontaneous abortion, mild symptoms of polyhydramnios, polyuria, abortion relief. Physical examination: T, P, R are normal, BP13.5 / 9.5kPa. Normal development, nutrition is medium. No abnormal heart and lung, abdominal bulging, uterine heights 30Cm, fetal LOA, fetal heart rate 140 beats / min. Laboratory tests: Hb102g / L, normal white blood cell count and classification, more than 7000 ml urine volume 24 hours, the proportion of 1.000 ~ 1.004, urinary protein (-),