肺癌脑转移并不少见,而以尿崩症为首发者国内报道极少,现报道如下:患者李某,女性,42岁,于1990年1月因口渴、每日饮水4000～5000 ml 及多尿,在当地县医院中药治疗无效,于1990年2月转省级医院,诊断为尿崩症,按尿崩症治疗病情加重,伴有头痛。3月份颅脑 CT 示弥漫性转移瘤,同时胸片提示左肺周围型肺癌,于1990年3月转本院。 Brain metastases from lung cancer are not uncommon. Domestic reports of diabetes insipidus as the first attack are rarely reported. They are reported as follows: Patient Li, female, 42 years old, was thirsty in January 1990, drinking 4000-5000 ml daily and Polyuric, in the local county hospital of traditional Chinese medicine treatment is invalid, in February 1990 to the provincial hospital, diagnosed as diabetes insipidus, according to diabetes insipidus treatment aggravated condition, accompanied by headache. In March, cranial CT showed diffuse metastases. At the same time, the chest radiograph prompted left lung peripheral lung cancer. It was transferred to our hospital in March 1990.