二十例儿童中枢性尿崩症临床分析及影像学特点（Clinical analysis and imaging features of central diabetes insipidus in twenty children）.docVIP

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二十例儿童中枢性尿崩症临床分析及影像学特点（Clinical analysis and imaging features of central diabetes insipidus in twenty children）.doc

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二十例儿童中枢性尿崩症临床分析及影像学特点（Clinical analysis and imaging features of central diabetes insipidus in twenty children）

二十例儿童中枢性尿崩症临床分析及影像学特点（Clinical analysis and imaging features of central diabetes insipidus in twenty children） Clinical analysis and imaging features of central diabetes insipidus in twenty children 2011-02-28 Xu Zongxiu Chen Weijun Department of Pediatrics in our hospital from March 1992 to March 1997, 20 cases of central diabetes insipidus in our hospital (CDI) in children with CT, MRI, X-ray examination, the results showed that MRI has good resolution of soft tissue, especially T1 weighted images in a certain extent can reflect the functional integrity of the pituitary gland, thus contributing to the CDI diagnosis and differential diagnosis the diagnosis, obtained satisfactory results in clinic, report as follows now. I. object Of the 20 cases, there were 9 males and 11 females. The average age of the patients was 5~15 years old, and the average age was 10 years. The shortest visit time was two weeks after the onset and the longest 2 and a half years. The main clinical manifestations: (1) polyuria, nocturnal polyuria, of which 13 cases with enuresis, daily urine volume is more than 3000ml/m2; (2) the proportion of urine were lower than 1.005, urine osmotic pressure is less than 150mmol/L (60 ~ 150mmol/L); (3) water deprivation test results: no water 4 ~ dehydration symptoms 6 hours later, the urine volume constant, urine specific gravity is 1.004 ~ 1.015, not more than 1.015, urine osmotic pressure is less than 300mmol/L. The blood sodium is 142 ~ 148 mmol/L, weight loss of about 3%; (4) urine osmotic pressure / plasma osmotic pressure is less than 1; (5) the results of pituitary hormone test pressure: the rapid rise in the proportion of urine is more than 1.015 (1.015 ~ 1.024), the duration is about 60 minutes, to maintain normal plasma osmotic pressure, urine osmotic pressure / plasma osmotic pressure 1. Eliminate polydipsia or polyuria due to other causes. Other clinical manifestations: weight loss in 7 cases, 2 cases of obesity, walking instability in 2 case