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[肾衰竭患者在血液透析治疗期间及肾移植后的脑电图动态变化]

[EEG dynamics in patients with renal failure during treatment with hemodialysis and following kidney transplantation].

作者信息

Ginzburg D A, Verkhovaskiĭ B D, Levitskiĭ E R, Antoniv A I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1156-9.

PMID:331811
Abstract

The authors conducted an EEG study of 28 patients with chronic renal insufficiency, 20 of whom were on a programme hemodyalysis and 8 were studied at different periods following kidney transplantation. Background registrations detected mild and moderate changes of the bioelectric brain activity, mainly with disorders of alpha-rhythm. Only in 1/3 of the patients there were moderate slow forms of activity of paroxysmal signs. A worsening of the EEG indices after hemodialysis, seen in 11 of the 20 patients was expressed in abundant polymorphic slow activity or paroxysmal hilateral synchronous discharges of a large amplitude and was combined with an appearance of neurological disorders. In a successful kidney transplantation there was a distinct normalization of the EEG picture, whereas in a rejection of the transplant there were signs of expressed anomalies of brain electrogenesis.

摘要

作者对28例慢性肾功能不全患者进行了脑电图研究,其中20例接受血液透析治疗,8例在肾移植后的不同时期接受研究。背景记录检测到脑生物电活动有轻度和中度变化,主要是α节律紊乱。只有1/3的患者有中度阵发性体征的慢波活动形式。20例患者中有11例在血液透析后脑电图指标恶化,表现为大量多形性慢波活动或双侧同步大振幅阵发性放电,并伴有神经功能障碍。肾移植成功后,脑电图表现明显恢复正常,而移植排斥时则有明显的脑电发生异常迹象。

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1
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Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1156-9.
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