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[肾脏疾病所致智力缺陷的临床-精神病理学特征]

[Clinico-psychopathologic features of amentia in kidney diseases].

作者信息

German G N

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(2):216-20.

PMID:425770
Abstract

The paper contains some results of a clinico-psychopathological analysis of the amentive syndrome in patients with nephrogenic psychoses. Among 97 patients studied 25 showed amentive states. Pathogenetic possibilities of uremic toxicosis, depending upon the intensity and severity of which the amentive symptomatology may develop in different ways is discussed. The pathoplastic significance of renal hypertension is described in detail. Two variants of nephrogenic amentia are distinguished and described (hyperkinetic and hypokinetic) which differ by their intensity of psychotic symptoms, rate of development and the severity of the outcome. It is demonstrated that the amentive syndrome in such cases has certain nozological information, which facilitates significantly a differential diagnosis.

摘要

该论文包含了对肾源性精神病患者智力缺损综合征的临床心理病理学分析结果。在研究的97名患者中,25名表现出智力缺损状态。讨论了尿毒症中毒的发病机制可能性,根据其强度和严重程度,智力缺损症状可能以不同方式发展。详细描述了肾性高血压的病理塑形意义。区分并描述了肾源性智力缺损的两种变体(多动型和少动型),它们在精神症状强度、发展速度和预后严重程度方面存在差异。结果表明,此类病例中的智力缺损综合征具有一定的疾病学信息,这极大地有助于鉴别诊断。

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