最近审阅: 30 十月 2020
最近更新: 29 五月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 寻找水和饮酒

其他诊断因素

  • 多尿
  • 头痛或恶心
  • 昏睡或意识错乱
  • 癫痫发作、谵妄或昏迷

危险因素

  • 精神疾病
  • 焦虑、中年女性
  • 发育障碍
  • 吸烟

诊断性检查

首要检查

  • 血浆渗透压
  • 尿渗透压
  • 尿钠
  • 血清钠
  • 24 小时尿容量
  • 尿液分析
  • 血清尿素
  • 限水试验
更多 首要检查

需考虑的检查

  • 加压素试验
  • 血浆抗利尿激素
  • 胸部 X 线检查 (CXR)
更多 需考虑的检查

治疗流程

撰稿人

Shilpa Srinivasan

Associate Professor of Clinical Psychiatry

Department of Neuropsychiatry and Behavioral Science

University of South Carolina School of Medicine

Columbia

SC

利益声明

SS is a board member of the American Association for Geriatric Psychiatry and serves on the Geriatric Psychiatry Exam Committee for the American Board of Psychiatry and Neurology.

Meera Narasimhan

Chair of the Department of Neuropsychiatry

Department of Neuropsychiatry and Behavioral Science

University of South Carolina School of Medicine

Columbia

SC

利益声明

MN is a member of an advisory board for Alkermes.

Dr Shilpa Srinivasan and Dr Meera Narasimhan would like to gratefully acknowledge Dr Emily Williams and Dr Brian Dundas, previous contributors to this topic. EW and BD declare that they have no competing interests.

同行评议者展开全部内容

Assistant Clinical Professor of Child Psychiatry

Yale School of Medicine

Medical Director of Psychiatry

Clifford W. Beers Guidance Clinic

New Haven

CT

利益声明

PJvW declares that he has no competing interests.

Neuropsychiatric Hospital "Dr Ivan Barbot"

Popovaca

Croatia

利益声明

BM is an author of a reference cited in this topic.

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