Multiple trauma patients in the treatment of traumatic diabetes insipidus.docVIP

 PAGE \* MERGEFORMAT 6 Multiple trauma patients in the treatment of traumatic diabetes insipidus Of: Yang Fan, Li Zhanfei, Baixiang Jun, Song Xianzhou, easy as wax, South Passage [Abstract] retrospectively analyzed 36 patients with severe multiple trauma patients with traumatic diabetes insipidus (TDI) of the mechanism, treatment and prognosis. That the TDI after multiple trauma and shock may be caused by traumatic brain injury blow caused by mortality incidence of up to 3 days 23.53%. early treatment can be applied to pituitrin, the later transition to pour Mi (1 deamination of D-8 arginine vasopressin), a significant effect. [Keywords:] multiple trauma; diabetes insipidus; treatment Traumatic diabetes insipidus (TDI) Although clinical rare, but can easily cause water and electrolyte balance disorders, and even life-threatening. This retrospective analysis of 36 cases of diabetes insipidus patients with multiple trauma combined clinical data, and report as follows. Clinical data 1 General information selected before injury had no more cases of polydipsia, polyuria performance and diabetes, renal disease history, of which 22 were male, female 14 cases; aged 17 to 68 years, mean 38.46 years. 21 cases of road traffic injury, fall injury 13 cases, 2 cases of blunt injury. ISS score of 25 to 59 minutes, an average of 29.89 points .28 cases with head injury, GCS score of 3 to 14 points, including 13 to 15 minutes in 2 cases, 9 to 12 points in 13 cases, 3 to 8 points in 13 cases. Shock 20; 5 patients died, mortality was 13.89%, including 3 patients with secondary multiple organ failure (MOF), 2 cases of brain stem failure. 2 Method priority hemorrhage, pneumothorax, and herniation of blood trauma and other life-threatening. Based on the following criteria for diagnosis TDI: (1) 24 С? urine outputgt; 30ml/kg, or continuous 2 hours urine outputgt; 200ml / h; (2) urinary gravity lt;1.005, or urine osmolality lt;300mosm/kg H2O; (3) polyuria, polydip