围术期突发性尿崩症的影响因素研究进展

Research progress on influencing factors of sudden diabetes insipidus in perioperative period

围术期突发性尿崩症主要表现为围术期排出大量低比重尿液、血容量下降及电解质紊乱。目前,临床上对于围术期突发性尿崩症的影响因素的认识尚不全面,麻醉药物、术中操作、术后并发症及遗传免疫等多种因素会影响肾功能或抗利尿激素水平,增加发病风险。本文结合相关文献对围术期突发性尿崩症的影响因素进行分析总结。

Sudden diabetes insipidus in perioperative period is characterized by a large amount of low specific gravity urine during the perioperative period,decreased blood volume and electrolyte disorder.At present,the clinical understanding of the influencing factors of perioperative sudden diabetes insipidus is not comprehensive,and many factors may increasing incidence risk affect renal function or the level of antidiuretic hormone through narcotic drugs,intraoperative operation,postoperative complications and genetic immunity thereby increasing incidence risk.The paper analyzed and summarized the influencing factors of perioperative sudden diabetes insipidus in combination with relevant literatures.