颅脑损伤后中枢性尿崩症27例临床分析  

Clinical Analysis of 27 Cases with Central Diabetes Insipidus after Brain Injury

作　　者：夏国庆[1] 韩东[1] 崔彦魁[1] 

机构地区：[1]焦作市第二人民医院神经外科,河南焦作454001

出　　处：《医学综述》2011年第10期1587-1588,共2页Medical Recapitulate

摘　　要：目的探讨外伤性中枢性尿崩症（TCDI）的发病机制、诊断及治疗。方法回顾性分析27例TCDI的临床资料。结果治愈20例,治愈时间12-123 d。死亡7例,其中1例死于肺部感染,3例死于脑干功能衰竭,2例死于多器官功能衰竭及电解质紊乱,1例死于续发性大面积脑梗死。结论 TCDI大多数是下丘脑垂体系统继发性损害所致,一般多在脑功能恢复之后TCD I症状才逐渐好转。因此,积极处理脑损伤是治疗TCDI的关键。Objective To explore the pathogenesis,diagnosis and treatment of traumatic central diabetes insipidus（TCDI）.Methods The clinical data of 27 cases of TCDI were retrospectively analyzed.Results 20 cases cured,the cure time was 12 to 123 days.7 cases died,of which 1 died of pulmonary infection,3 patients died from brain stem failure,2 patients died of multiple organ failure and electrolyte disorder,1 patient died of massive cerebral infarction renewal.Conclusion Most of TCDI caused by the secondary lesion in the hypophysis cerebri,the symptom of ICDI was improved gradually following the functional recovery.dealing with the treatment of traumatic diabetes insipidus is the key.It is key todeal with brain injury actively.

关 键 词：颅脑损伤 外伤性中枢性尿崩症 治疗 

分 类 号：R651.15[医药卫生—外科学]