Shumakov V I, Levitskiĭ E R, Verkhovskiĭ B D, Reznikova A I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1975;75(9):1298-303.
The report is concerned with the results of a study of polyneuropathy in 75 patients with acute and chronic renal insufficiency. The authors described the clinical characteristics of the different forms of neuropathy. In acute renal insufficiency the first signs of polyneuropathy appear during the stage of polyuria and are reversible. In chronic renal insufficiency and hemodialysis treatment of subclinical an sensory forms of neuropathy are mainly seen (2/3 of the patients). It was demonstrated that there was a retardation in the velocity of excitative conductivity through the nerves depending upon the severity of polyneuropathy. A longterm adequate hemodialysis may prevent the further development of polyneuropathy.
该报告关注的是对75例急慢性肾功能不全患者的多发性神经病研究结果。作者描述了不同形式神经病的临床特征。在急性肾功能不全中,多发性神经病的最初症状出现在多尿期,且是可逆的。在慢性肾功能不全及血液透析治疗中,主要可见亚临床感觉型神经病(占患者的2/3)。结果表明,神经兴奋传导速度会因多发性神经病的严重程度而减慢。长期充分的血液透析可预防多发性神经病的进一步发展。