Psychogenic Polydipsia- management challenges

强迫性饮水或心因性多渴越来越多见。过度水分摄入会导致低钠血症引起恶心、呕吐、癫痫、谵妄等症状,如不及早发现和处理,甚至可能会危及生命。这里报告的病例是一例35岁心因性多渴症男性患者,通过药物、限制摄水量和心理等整合治疗手段获成功治愈。

Summary： Compulsive water drinking or psychogenic polydipsia is now increasingly seen in psychiatric populations. Effects of increased water intake can lead to hyponatremia causing symptoms of nausea, vomiting, seizures, delirium and can even be life threatening if not recognized and managed early. Here we present a 35-year old adult who was diagnosed with psychogenic polydipsia and was successfully managed with a combination of pharmacotherapy, fluid restriction and psychosocial management.