中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2009年
18期
246,249
,共2页
邱金华%蔡讯%罗伟良%刘红英%钟柳兴
邱金華%蔡訊%囉偉良%劉紅英%鐘柳興
구금화%채신%라위량%류홍영%종류흥
尿毒症%尿毒症脑病%癫痫样发作%血液透析滤过
尿毒癥%尿毒癥腦病%癲癇樣髮作%血液透析濾過
뇨독증%뇨독증뇌병%전간양발작%혈액투석려과
Uremic%Uremic encephalopathy%Seizure%HDF
目的 总结分析以尿毒症性脑病表现为癫痫样发作的患者的临床资料,并探讨适宜的治疗措施.方法 回顾性分析13例尿毒症伴癫痫样发作的临床资料及治疗方法.结果 8例患者临床缓解,2例死于心衰,2例死于呼吸道感染.1例原因为多脏器功能衰竭,1例因经济原因放弃治疗.结论 尿毒症性脑病是慢性肾衰竭患者尿毒症晚期多种原因所致脑部的病变,其中癫痫样发作是常见并发症之一,除对症处置外,及时应采用适当的血液净化方式是关键.
目的 總結分析以尿毒癥性腦病錶現為癲癇樣髮作的患者的臨床資料,併探討適宜的治療措施.方法 迴顧性分析13例尿毒癥伴癲癇樣髮作的臨床資料及治療方法.結果 8例患者臨床緩解,2例死于心衰,2例死于呼吸道感染.1例原因為多髒器功能衰竭,1例因經濟原因放棄治療.結論 尿毒癥性腦病是慢性腎衰竭患者尿毒癥晚期多種原因所緻腦部的病變,其中癲癇樣髮作是常見併髮癥之一,除對癥處置外,及時應採用適噹的血液淨化方式是關鍵.
목적 총결분석이뇨독증성뇌병표현위전간양발작적환자적림상자료,병탐토괄의적치료조시.방법 회고성분석13례뇨독증반전간양발작적림상자료급치료방법.결과 8례환자림상완해,2례사우심쇠,2례사우호흡도감염.1례원인위다장기공능쇠갈,1례인경제원인방기치료.결론 뇨독증성뇌병시만성신쇠갈환자뇨독증만기다충원인소치뇌부적병변,기중전간양발작시상견병발증지일,제대증처치외,급시응채용괄당적혈액정화방식시관건.
Objective To study the seizure of uremic encephalopathy and investigate the treatment of this disease. Methods Review analyse clinical data of 13 eases uremic eneephalopathy. Results 8 ease were getting better, 2 cases died of heart failure,2 cases died of lung infectious, 1 ease died of multiple system organ failure, 1 case abandoned treatments. Conclusion Neuropsyehic symptom in end-stage uremia was related to multiple factors.Seizure is one frequent side symptom,the key of rescue uremic encephalopathy is early in time blood dialysis filter(HDF).