Central diabetes insipidus following cardiopulmonary arrest in a dog.

Tara Bellis, Meredith Daly, Benjamin Davidson
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引用次数: 8

Abstract

Objective: To describe a clinical case of transient central diabetes insipidus (CDI) occurring post cardiopulmonary arrest (CPA) in a dog.

Case summary: An 8-week-old dog presented for intensive care after successful resuscitation following CPA. The patient exhibited neurologic deficits at initial presentation and over the following days developed marked polyuria, isosthenuria, and low urine osmolality. Treatment with synthetic vasopressin resulted in a reduction in urine output, increase in urine specific gravity (>50%), and increase in urine osmolality, suggesting a diagnosis of partial CDI. Clinical signs resolved over the following weeks and treatment was discontinued.

New or unique information provided: CPA has been described as a cause of ischemic injury to the pituitary gland resulting in CDI in people. To the authors' knowledge, this is the first report of a dog developing transient partial CDI following CPA and successful resuscitation.

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犬心肺骤停后中枢性尿崩症。
目的:报告1例犬心肺骤停后发生短暂性中枢性尿崩症(CDI)。病例总结:一只8周大的狗在CPA成功复苏后接受了重症监护。患者在初次就诊时表现出神经功能障碍,随后几天出现明显的多尿、等尿和低尿渗透压。合成抗利尿激素治疗导致尿量减少,尿比重增加(>50%),尿渗透压增加,提示诊断为部分CDI。临床症状在接下来的几周内消失,并停止治疗。提供新的或独特的信息:CPA已被描述为脑垂体缺血性损伤导致CDI的原因。据作者所知,这是第一次报道狗在CPA后出现短暂性部分CDI并成功复苏。
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