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透析失衡导致慢性肾衰竭患者发生后部可逆性脑病综合征。

Dialysis disequilibrium leading to posterior reversible encephalopathy syndrome in chronic renal failure.

作者信息

Sengupta Pratim, Biswas Sumanta

机构信息

Department of Nephrology, ILS Hospital, 1, Mall Road, Near Nager Bazar Flyover, Dum Dum, Kolkata, 700080, India.

, Flat No-4c, Block-A, AMRAPALI, 29/10 Harey Krishna Seth Lane, P.O- Sinthee, Kolkata, West Bengal, 700050, India.

出版信息

CEN Case Rep. 2016 Nov;5(2):154-157. doi: 10.1007/s13730-016-0215-4. Epub 2016 Mar 3.

Abstract

Dialysis disequilibrium syndrome is a neurological adverse effect of acute hemodialysis in advanced uremic patients. Dialysis disequilibrium has a wide spectrum of clinical manifestations starting from subtle uneasiness, confusion, to florid and complex life threatening neurological deficit. In this case study, we present a patient who developed sudden cortical blindness following hemodialysis due to posterior reversible encephalopathy, which is a rare presentation of dialysis disequilibrium syndrome.

摘要

透析失衡综合征是晚期尿毒症患者急性血液透析的一种神经不良反应。透析失衡有广泛的临床表现,从轻微的不适、困惑到严重且复杂的危及生命的神经功能缺损。在本病例研究中,我们报告了一名患者,其在血液透析后因后部可逆性脑病突然出现皮质盲,这是透析失衡综合征的一种罕见表现。

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本文引用的文献

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Dialysis disequilibrium syndrome: a narrative review.透析失衡综合征:一篇叙述性综述。
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Postgrad Med J. 2001 Jan;77(903):24-8. doi: 10.1136/pmj.77.903.24.
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