脑外伤后迟发性尿崩18例的临床分析

Clinical analysis of 18 cases with delayed onset diabetes insipidus after traumatic brain injury

目的:探讨脑外伤后迟发性尿崩的发病机制、诊断和治疗。方法:回顾性分析18例脑外伤后迟发性尿崩症的临床资料。结果:18例患者经过治疗,16例的尿量均恢复正常,其中1周内控制者9例,2～3周控制者4例,3周以上控制者3例,2例需终生替代治疗。结论:脑外伤的迟发性尿崩症多为暂时性,只要诊断及时、治疗得当,预后良好。

Objective. To explore the pathogenesis, diagnosis and treatment of delayed onset diabetes insipidus after traumatic brain injury. Methods： Retrospectively analyzed the data of 18 cases with delayed diabetes insipidus after traumatic brain injury. Results： All patients had normal uterine, of which 9 cases had disease status in control in 1 week, 4 cases in 2~3 weeks, 3 cases in more than 3 weeks, and 2 patients required life-long replacement therapy. Conclusion.. Delayed diabetes insipidus are mostly temporary. Satisfactory prognosis can be obtained after timely diagnosis and proper treatment.