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| 透析患者伴发抽搐的病因分析 | |
| 引用本文： | 于青,张辰珠,姚建. 透析患者伴发抽搐的病因分析[J]. 中国血液净化, 2002, 1(7): 10-12 |
| 作者姓名： | 于青 张辰珠 姚建 |
| 作者单位： | 200080,上海,上海市第一人民医院肾内科 |
| 摘 要： | 目的 探讨终末期肾病透析患者伴发神经系统损害的病因。方法 回顾性分析我院36名死亡的慢性肾衰透析患者伴发抽搐的原因。结果 共有15例患者在其疾病发展过程中有抽搐发作,其中6例患者因尿毒症脑病、7例因脑血管意外、2例因严重低钙血症引起抽搐。尿毒症脑病多发生于反复腹腔感染,透析不充分的连续性非卧床腹膜透析患者;脑血管意外尤其是脑出血多发生于血液透析患者。结论 透析患者伴发抽搐主要是与中分子物质在体内蓄积、脑血管意外和严重低钙血症有关。应保证透析充分性,积极纠正急慢性并发症。 |
| 关 键 词： | 抽搐 终末期肾病 透析 |
| 修稿时间： | 2002-02-19 |
Causes of seizure in dialysis patients |
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| YU Qing,ZHANG Chenzhu,YAO Jim. Causes of seizure in dialysis patients[J]. Chinese Journal of Blood Purification, 2002, 1(7): 10-12 | |
| Authors: | YU Qing ZHANG Chenzhu YAO Jim |
| Affiliation: | YU Qing,ZHANG Chenzhu,YAO Jim. Department of Nephrology,Shanghai First People's Hospital,Shanghai 200080,China |
| Abstract: | Objective To detect the causes of neurological complications presenting in dialysis patients. Methods we conducted a retrospective study to analysis the causes of seizure in 36 died dialysis patients. Results 15 of 36 patients com-palicated with seizure in the course of disease. Uremic encephalopathy caused seizure in 6 cases; event of cerebrovascular in 7 cases and serious hypocalcemia in 2 cases. Conclusion Retention of middle molecule uremic toxin,event of cerebrovascular and low serum calcium are the main causes of seizure in dialysis patients. |
| Keywords: | Seizure End- stage renal disease Dialysis |
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