上消化道大出血继发暂时性尿崩症1例报道  

Upper gastrointestinal hemorrhage secondary to temporary diabetes: one case report

作　　者：王玉倩[1] 赵金满[1] 

机构地区：[1]中国医科大学第一附属医院消化内科,辽宁沈阳110001

出　　处：《胃肠病学和肝病学杂志》2012年第7期664-665,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：上消化道大出血患者继发暂时性尿崩症少见,因大出血而导致的失血性休克状态,不能保证重要脏器的供血供氧,再加上交感神经的反射性兴奋引起动脉痉挛甚至闭塞,进而导致脑垂体大面积坏死,出现尿崩症。一旦发生应及时处理原发病,补充血容量及减少出血,必要时抗利尿激素替代治疗。目前部分继发性暂时性尿崩症患者症状较轻,且不典型,需临床医生提高警惕,早期预防尿崩症的发生。Patients with upper gastrointestinal hemorrhage secondary to temporary diabetes insipidus are uncommon, due to massive haemorrhage caused by hemorrhagic shock, can not guarantee the vital organ blood and oxygen supply, coupled with the sympathetic reflex excitability induced by arterial spasm even occlusion, which causes the pituitary gland to large areas of necrosis, onset of diabetes insipidus. Once it happens, we should timely deal with primary disease, supply blood volume and reduce bleeding, when necessary, antidiuretie hor- mone replacement therapy was used. At present, some secondary transient diabetes insipidus patients have mild symptoms and atypical, so clinicians should improve vigilance and early prevent the onset of diabetes insipidus.

关 键 词：尿崩症 中枢性尿崩症 肾性尿崩症 精氨酸加压素 抗利尿激素 

分 类 号：R573.2[医药卫生—消化系统]