Oliver R M, Talbot S, Raman G V
Department of Renal Medicine, University of Southampton, St Mary's Hospital, Portsmouth, UK.
Postgrad Med J. 1989 Jul;65(765):502-4. doi: 10.1136/pgmj.65.765.502.
We report on a patient with ureterosigmoid anastomosis, who presented with recurrent episodes of confusion, agitation and aggressive behaviour, culminating in coma. Investigations revealed profound hyperammonaemia, which responded to treatment with sodium benzoate and sodium phenylacetate. No definite cause was found for the abnormality, apart from possible urinary tract infection. The patient remains well on a protein restricted diet with mildly elevated levels of plasma ammonia.
我们报告了一例输尿管乙状结肠吻合术患者，该患者反复出现意识模糊、烦躁和攻击行为，最终陷入昏迷。检查发现严重高氨血症，经苯甲酸钠和苯乙酸钠治疗后有所缓解。除了可能的尿路感染外，未发现该异常的确切病因。该患者在蛋白质限制饮食下情况良好，血浆氨水平轻度升高。
