小儿脑死亡并中枢性尿崩症  

Clinical analysis of central diabetes insipidus in children with brain death

作　　者：钱素云[1] 陈贤楠[1] 樊寻梅[1] 耿荣[1] 田宏[1] 齐宇洁[1] 曾建生[1] 陈珲 李耿[1] 

机构地区：[1]首都医科大学附属北京儿童医院急救中心,北京100045

出　　处：《实用儿科临床杂志》2000年第1期10-11,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的　了解小儿脑死亡合并中枢性尿崩症 (DI)的临床特点。方法　对北京儿童医院 PICU 17例脑死亡患儿的临床资料进行分析。结果　本组 DI脑死亡儿发生率为 5 9% (10 / 17) ,原发病以颅内感染为主。 DI多在脑死亡前 2 4h内出现 ,其发生与年龄、心肺复苏无明显相关性。垂体加压素可使 DI患儿尿量明显减少。结论　 DI是小儿脑死亡较常见的特殊临床表现之一 ,但并非脑死亡的必备特征。Objective To analyse the clinical features of central diabetes insipidus(DI) in children with brain death. Methods The medical records of 17 cases of brain death admitted to PICU at Beijing Children′s Hospital were reviewed. Results The incidence of DI in this group of children with brain death was 59%(10/17).Protopathy was mostly intracranial infection.DI tended to appear within 24 hours before the patients met the criteria of brain death.No relationship was found between DI and age and cardiac arrest.Urine output was decreased obviously when the patients received vasopressin treatment. Conclusion DI was one of the common clinical signs in some patients with brain death,but it was not necessarily a sign for the diagnosis of brain death.

关 键 词：脑死亡 尿崩症 加强医疗病房 儿童 

分 类 号：R720.597[医药卫生—急诊医学]