BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 多尿
  • 口渴加重/多饮
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其他诊断因素

  • 夜尿
  • 高钠血症的非特异性中枢神经系统症状
  • 夜尿
  • 高钠血症的非特异性中枢神经系统症状
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危险因素

  • 垂体手术
  • 颅咽管瘤
  • 垂体柄病变
  • 外伤性脑损伤
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诊断性检查

首要检查

  • 尿渗透压
  • 血清渗透压
  • 血清钠
  • 血清钙
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需要考虑的检查

  • 禁水试验
  • 精氨酸血管加压素（去氨加压素）刺激试验
  • 3% 高渗盐水注射试验
  • MRI（对比增强）
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治疗流程

推断

高钠血症的任何阶段

急性

急性中枢性尿崩症

疾病持续状态

慢性中枢性尿崩症

肾性尿崩症

贡献者

作者 查看所有

Consultant Endocrinologist

Adelaide and Meath Hospitals Dublin

Department of Endocrinology

Trinity College Dublin

Dublin

Ireland

利益冲突披露
MS declares that he has no competing interests.

Professor of Medicine

University of Leeds

Leeds

UK

利益冲突披露
PMS declares that he has no competing interests.

同行评议专家 查看所有

Professor of Medicine

Division of Endocrinology and Metabolism

University of Pittsburgh School of Medicine

Pittsburgh

PA

利益冲突披露
At the time of peer review, JA received research grants from the National Institutes of Health, the Department of Veterans' Affairs, and the Department of Defense. We were made aware that Professor Amico is now deceased.

Professor of Endocrinology

Department of Endocrinology

Beaumont Hospital

Dublin

Ireland

利益冲突披露
CT declares that he has no competing interests.

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