去氨加压素与水中毒。[关于一例遗尿症的治疗]。

Pediatrie Pub Date : 1993-01-01
R Guillaud, S Amram, F Lememme, D Lesbros
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引用次数: 0

摘要

一名4岁男孩因继发性遗尿导致膀胱不稳定而接受奥布丁碱和去氨加压素治疗。他入院时伴有眩晕、呕吐和两次癫痫发作,并伴有低钠血症和低渗。在限水和静脉注射氯化钠后,患儿迅速痊愈。本病例报告提示去氨加压素可能导致严重的副作用。该药不应广泛使用,其适应症应限于已证实的抗利尿激素分泌异常的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Desmopressin and water intoxication. Apropos of a case treated for enuresis].

A 4-year-old boy was treated with oxybutinine and desmopressine because of bladder instability associated with secondary enuresis. He was admitted with obnubilation, vomiting and experienced two seizure episodes concomitantly with hyponatremia and hypoosmolality. The child healed promptly under water restriction and intravenous administration of sodium chloride. This case report suggests that desmopressine may be responsible for severe side-effects. This drug should not be widely used and its indications should be restricted to patients with proven antidiuretic hormone secretion abnormalities.

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