Diabetes insipidus-rarely symptom of renal failure on multiple organs failure
Author(s): SONG Jiazhen, HU Ling
Pages: 214-215
Year: 2001 Issue: 4
Journal: CHINESE JOURNAL OF CRITICAL CARE MEDICINE
Keyword: 多器官功能衰竭; 尿崩; 垂体后叶素;
Abstract: Objective To report diabetes insipidus cases caused by multipleorgans failure(MOF).Methods 14 cases suffered from MOF,etiological treatment and programmatic organ supporting were performed.Urine volume,crystal osmotic pressure of blood and urine,free water clean rate,blood electrolyte,blood gas analysis etc.were monitored.Their changes before and after pituitrin infusion were observed.Results 2 cases were cured,12 cases died.Diabetes insipidus was appeared from 2ed to 9th day of course and its time was maintained on 43±22 hours (±s,n=14)，peak urine volume was reached 9 753±2 461 ml/d(±s,n=14).At same time,isotonic urine discharged,electrolytic concentration of blood rised and acidemia happened could be seen.When pituitrin was infused by 1U/h dosage,urine volume decreased in 3 cases,8 cases decreased in short time(2～4 h)and 3 cases were no reaction.Conclusions Diabetes insipidus caused by MOF was the result of renal concentrative function failure.
Pages: 214-215
Year: 2001 Issue: 4
Journal: CHINESE JOURNAL OF CRITICAL CARE MEDICINE
Keyword: 多器官功能衰竭; 尿崩; 垂体后叶素;
Abstract: Objective To report diabetes insipidus cases caused by multipleorgans failure(MOF).Methods 14 cases suffered from MOF,etiological treatment and programmatic organ supporting were performed.Urine volume,crystal osmotic pressure of blood and urine,free water clean rate,blood electrolyte,blood gas analysis etc.were monitored.Their changes before and after pituitrin infusion were observed.Results 2 cases were cured,12 cases died.Diabetes insipidus was appeared from 2ed to 9th day of course and its time was maintained on 43±22 hours (±s,n=14)，peak urine volume was reached 9 753±2 461 ml/d(±s,n=14).At same time,isotonic urine discharged,electrolytic concentration of blood rised and acidemia happened could be seen.When pituitrin was infused by 1U/h dosage,urine volume decreased in 3 cases,8 cases decreased in short time(2～4 h)and 3 cases were no reaction.Conclusions Diabetes insipidus caused by MOF was the result of renal concentrative function failure.
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