暂时性糖尿病无味症在停止使用血压后
Audrey L Chai1, Rastko Rakočević2, Firas M El-Baba2
1Department of Medicine, University of Southern California, Los Angeles, USA.
Cureus
|June 28, 2024
概括
突然停止输血压素输注可以导致暂时的无味糖尿病 (DI). 这种状况是过度排尿和高水平的标志,可以在没有干预的情况下迅速解决.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 关键护理医学 关键护理医学
背景情况:
- 血管压素对于在重症监护室管理血管扩张性休克至关重要.
- 它还通过收集管道中的血管压素V2受体在脏水的再吸收中发挥作用.
研究的目的:
- 报告在没有神经相关疾病的患者中,在输血压素停止后发生过渡性DI的独特病例.
- 强调临床认可DI作为在重症监护机构中吸血压素撤销的后果.
主要方法:
- 一个59岁的男性患有感染性休克,需要输血压素输注的病例报告.
- 停药后观察临床表现和实验室值.
- 分析患者在没有特定DI治疗的情况下的康复情况.
主要成果:
- 患者在压素停用后12小时内出现多尿症 (>3L/天) 和高血血 (血清149 mmol/L).
- 这些症状在24小时内自发消失.
- 这位患者没有预先预先为DI的神经或神经外科条件.
结论:
- 这一案例支持越来越多的证据表明,在血管压缩剂停止后,暂时性DI会出现.
- 暂时的DI应被认为是危重病患者的血管压素治疗的潜在不良影响.
- 在临床实践中,进一步认识到这一现象是有必要的.
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