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患者男,17岁,因多尿、口渴、多饮半月于1989年7月7日入院。患者半月前因考试复习紧张,逐渐出现尿频、尿量增多,每日总尿量约3000ml;口渴、多饮,日饮水量达1200ml。近10天来症状明显加重,每日小便达10余次之多,夜间2~3次,每日总尿量达5000ml,口渴更甚,日饮水达6000ml。在当地医院检查尿糖(-),尿比重1.008,诊为“尿崩症”转我院。患者既往体健,无头部外伤、颅内感染及严重精神创伤史。
The patient, male, aged 17, was admitted to hospital on July 7, 1989 for polyuria, thirst, and more than half of the drinks. Half an month ago, because of stressful review of the exam, the patient gradually developed urinary frequency and increased urine output. The total daily urine volume was about 3000 ml. He was thirsty and had a lot of water, drinking 1200 ml of water daily. In the past 10 days, the symptoms have been aggravated, with daily urination of more than 10 times, night 2 or 3 times, daily total urine output of 5000ml, thirst even worse, drinking water up to 6000ml. Check urine sugar (-) in the local hospital, urine specific gravity 1.008, diagnosed as “diabetes insipidus” transferred to our hospital. The patient was physically fit and had no history of head trauma, intracranial infection, and severe trauma.