Naslov
Hypotonic polyuria syndrome after electrical burns: a case reports study

Autori
Bartolek, Dubravka ; Munjiza, Aleksandra ; Pavičić, Marina ; Tomičić, Hrvoje

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Neurologia Croatica 56(Suppl.4):1-240 / Hajnšek, S. - Zagreb : Klinika za neurologiju KBC Zagreb, 2007, 217-217

Skup
2nd Mediterranean Congress on Critical Care Medicine

Mjesto i datum
Brijuni, Hrvatska, 04.06.2007. - 07.06.2007

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
electrical burns; polyuria

Sažetak
Aim. Electrical fields damage the cells by thermal and non-thermal mechanisms. It causes cells lysis, disturbs electrochemical equilibrium inside and outside the cells and cause cytokines freed from the damaged cells. Giant, muscle and nerve cells are more sensitive to lysis and the most signs of electrical damage are related to neuromuscular injury. Central, peripheral and autonomous nerve systems may be affected also3, 4. Extensive transient polyuria (500-1000 ml/h) was described in associations of the neurogenic diabetes insipidus and hypothalamic hypothyroidism in patients with electrical injury as rare clinical event. Methods. We discussed three patients with electrical burns followed by electrical shock in whom extensive transient polyuria was detected few days after the injury. All three patients received large parenteral fluid replacement 4-6 ml/ kg %-1 of crystalloid solution in the first 48 hours. Results. Two patients were included in the therapy with desmopressin acetate (dDAVP) during two weeks period and in one polyuria stopped spontaneously. Conclusion. Transient hypotonic polyiuria is atypical but often syndrome of central diabetes insipidus associated with electrical burns. Its differentiation from others types of polyuria allows correct strategy in therapy and successful outcome in patient with electrical injury. References: 1) Urqurt CK, Craft PD, Nehlawi MM. Transient diabetes insipidus following electrical burns in two patients.South Med J 1994 ; 87:412-3. 2) Ali Ozdemir, Pinar Seymen, Omer atalay Yurekely, et al. Transient hypothalamic hypothyroidism and diabetes insipidus after electrical injury. Southern Med J 2002 ; 95(4):467-8.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
2nd Mediterranean Congress on Critical Care Medicine, Brijuni Islands, Croatia

POVEZANOST RADA