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精神性烦渴

最后审阅: 3 Sep 2024
最后更新: 28 Sep 2022

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
完整详情

其他诊断因素

  • 激越
  • 多尿
  • 头痛
  • 恶心或呕吐
  • 昏睡或意识错乱
  • 癫痫发作、谵妄或昏迷
完整详情

危险因素

  • 精神障碍
  • 神经发育障碍性疾病
  • 吸烟
  • 酗酒
完整详情

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
完整详情

需考虑的检查

  • 加压素试验
  • 血浆抗利尿激素
完整详情

治疗流程

急症处理

严重低钠血症 (<125 mmol/L [<125 mEq/L]),或伴随神经症状

低钠血症 (<125~130 mmol/L [<125~130 mEq/L]) 或伴随 GI 症状

持续性治疗

慢性烦渴

撰稿人

作者

Shilpa Srinivasan, MD, DFAPA, DFAAGP
Shilpa Srinivasan

Vice Chair, Medical Staff Affairs, Behavioral Health Midlands, Prisma Health

Professor of Clinical Psychiatry

Program Director: Geriatric Psychiatry Fellowship

Director: Psychiatry Acting Internship and M4 Clerkship

Department of Neuropsychiatry and Behavioral Science

Prisma Health - University of South Carolina School of Medicine Columbia

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, MD, DFAPA
Meera Narasimhan

Professor and Chair

Department of Neuropsychiatry and Behavioral Science

Senior Medical Director

Prisma Health

Special Advisor to University of South Carolina President

Health Innovations and Economic Development

University of South Carolina School of Medicine Columbia

Columbia

SC

利益声明

MN is a member of an advisory board for Alkermes.

鸣谢

Dr Shilpa Srinivasan and Dr Meera Narasimhan would like to gratefully acknowledge Dr Emily Williams and Dr Brian Dundas, previous contributors to this topic.

利益声明

EW declares that she has no competing interests. BD is an author of one of the references for this topic.

同行评议者

Branimir Margetić, MD

Neuropsychiatric Hospital "Dr Ivan Barbot"

Popovaca

Croatia

利益声明

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

Aaron Pinkhasov, MD, DFAPA, FACLP

Chairman

Department Of Psychiatry

NYU Langone Hospital

Professor of Psychiatry and Medicine

NYU Long Island School of Medicine

Long Island

NY

利益声明

AP declares that he has no competing interests.

Richard C Millson, MD, DTM&H, FRCPC

Associate Professor of Psychiatry

Queen's University

Kingston

Ontario

Canada

利益声明

RCM declares that he has no competing interests. He is the author of some of the references cited in this topic.

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