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成功的肾移植未能逆转透析相关脑病综合征。

Failure of successful renal transplantation to reverse the dialysis-associated encephalopathy syndrome.

作者信息

Mattern W D, Krigman M R, Blythe W B

出版信息

Clin Nephrol. 1977 Jun;7(6):275-8.

PMID:326455
Abstract

A patient is described who had been on home dialysis for two years before receiving a cadaver kidney transplant. In retrospect, minor speech difficulties were noted two weeks before the transplant. A week after the transplant the characteristic speech, movement and electroencephalographic (EEG) abnormalities of the dialysis encephalopathy syndrome abruptly presented. Relentless neurological deterioration ensued ending in death three months later despite excellent function in the transplant. The significance of this observation is related to current theories of pathogenesis.

摘要

描述了一名患者,其在接受尸体肾移植前已进行了两年的家庭透析。回顾发现,移植前两周出现了轻微的言语困难。移植后一周,透析脑病综合征的典型言语、运动和脑电图(EEG)异常突然出现。尽管移植肾功能良好,但随后仍出现了无情的神经功能恶化,三个月后死亡。这一观察结果的意义与当前的发病机制理论有关。

相似文献

1
Failure of successful renal transplantation to reverse the dialysis-associated encephalopathy syndrome.成功的肾移植未能逆转透析相关脑病综合征。
Clin Nephrol. 1977 Jun;7(6):275-8.
2
[Encephalopathy caused by hemodialysis and functioning renal transplant].[血液透析和功能性肾移植所致脑病]
Rev Clin Esp. 1979 Mar 31;152(6):495-6.
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Brain pathology in chronic renal failure: treatment with hemodialysis versus cadaver renal transplant.慢性肾衰竭的脑病理学:血液透析与尸体肾移植治疗对比
Trans Am Neurol Assoc. 1978;103:121-3.
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[A long-term organic brain syndrome and brain stem symptoms in an undiagnosed dialysis-associated encephalopathy].[一种未确诊的透析相关性脑病中的长期器质性脑综合征和脑干症状]
Dtsch Med Wochenschr. 1999 Feb 19;124(7):176-81. doi: 10.1055/s-2007-1024270.
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The "dialysis encephalopathy syndrome" without dialysis.无透析情况下的“透析性脑病综合征”
Clin Nephrol. 1978 Dec;10(6):250-2.
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Dialysis encephalopathy syndrome.透析性脑病综合征
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Dialysis encephalopathy.透析性脑病
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Results of 12 years' treatment of chronic renal failure by dialysis and transplantation.透析和移植治疗慢性肾衰竭12年的结果。
Can Med Assoc J. 1978 Feb 4;118(3):263-6.
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Impact of cadaveric renal transplantation on survival in patients listed for transplantation.尸体肾移植对列入移植名单患者生存率的影响。
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引用本文的文献

1
Soluble brain proteins in dialysis encephalopathy.透析性脑病中的可溶性脑蛋白
Acta Neuropathol. 1980;50(3):241-4. doi: 10.1007/BF00688762.
2
Oral aluminum and neuropsychological functioning. A study of dialysis patients receiving aluminum hydroxide gels.
J Neurol. 1980;223(4):251-7. doi: 10.1007/BF00313339.