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进行性透析性脑病(“透析性痴呆”)

Progressive dialysis encephalopathy ("dialysis dementia").

作者信息

Chui H C, Damasio A R

出版信息

J Neurol. 1980 Jan;222(3):145-57. doi: 10.1007/BF00313113.

DOI:10.1007/BF00313113
PMID:6153702
Abstract

Sixty cases of distinctive progressive and fatal encephalopathy have been reported in patients undergoing long-term hemodialysis. An analysis of their records reveals that mean duration of hemodialysis prior to onset is 2.5 years, while mean duration of clinical course until death is 6.3 months. The most frequent clinical manifestations include disturbances in communication (87%), cognition (66%) and movement (93%). Nonspecific electroencephalographic abnormalities are present in all cases. The condition is possibly related to some yet unidentified metabolic disorder. There is no effective therapy.

摘要

据报道,60例接受长期血液透析的患者出现了一种特殊的进行性致命性脑病。对他们的病历分析显示,发病前血液透析的平均时长为2.5年,而直至死亡的临床病程平均时长为6.3个月。最常见的临床表现包括交流障碍(87%)、认知障碍(66%)和运动障碍(93%)。所有病例均存在非特异性脑电图异常。该病症可能与某种尚未明确的代谢紊乱有关。目前尚无有效治疗方法。

相似文献

1
Progressive dialysis encephalopathy ("dialysis dementia").进行性透析性脑病(“透析性痴呆”)
J Neurol. 1980 Jan;222(3):145-57. doi: 10.1007/BF00313113.
2
Dialysis encephalopathy: a review.透析性脑病:综述
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Dialysis encephalopathy syndrome.透析性脑病综合征
Annu Rev Med. 1978;29:93-8. doi: 10.1146/annurev.me.29.020178.000521.
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Dialysis encephalopathy. Clinical, electroencephalographic and interventional aspects.透析性脑病。临床、脑电图及干预方面
Medicine (Baltimore). 1983 May;62(3):129-41.
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Progressive dialysis encephalopathy.进行性透析性脑病
Ann Neurol. 1978 Sep;4(3):199-204. doi: 10.1002/ana.410040302.
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Progressive dialytic encephalopathy.进行性透析性脑病
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Dialysis encephalopathy.透析性脑病
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Dialysis encephalopathy relieved by hemofiltration: a case report and a review.血液滤过缓解透析性脑病:一例报告及文献复习
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The value of electroencephalographic recordings in dialysis encephalopathy: case-reports and review of literature.脑电图记录在透析性脑病中的价值:病例报告及文献综述
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Cureus. 2024 Aug 19;16(8):e67212. doi: 10.7759/cureus.67212. eCollection 2024 Aug.
2
Advances in dialysis encephalopathy research: a review.透析相关性脑病研究进展:综述。
Neurol Sci. 2018 Jul;39(7):1151-1159. doi: 10.1007/s10072-018-3426-y. Epub 2018 May 2.
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Epigenetics and chromatin plasticity in embryonic stem cells.胚胎干细胞中的表观遗传学和染色质可塑性。

本文引用的文献

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Pulmonary fibrosis and encephalopathy associated with the inhalation of aluminium dust.与吸入铝尘相关的肺纤维化和脑病。
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The EEG in metabolic disorders.代谢紊乱中的脑电图
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Dialysis encephalopathy, bone disease and anaemia: the aluminum intoxication syndrome during regular haemodialysis.透析性脑病、骨病和贫血:规律血液透析期间的铝中毒综合征
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Psychopathology of chronic haemodialysis: is it a behavioural cognitive continuum?慢性血液透析的精神病理学:它是一种行为认知连续体吗?
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The effect of aluminium hydroxide on calcium, phosphorus and aluminium balances, the serum parathyroid hormone concentration and the aluminium content of bone in patients with chronic renal failure.
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Syndrome of dyspraxia and multifocal seizures associated with chronic hemodialysis.
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Letter: Dialysis dementia: probably not asparagine deficiency.信函:透析性痴呆:可能并非天冬酰胺缺乏所致。
Lancet. 1973 Dec 1;2(7840):1275. doi: 10.1016/s0140-6736(73)91028-3.
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Letter: Dialysis dementia: asparagine deficiency?信件:透析性痴呆:天冬酰胺缺乏?
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Dialysis dementia.透析性痴呆
Lancet. 1973 Aug 4;2(7823):271. doi: 10.1016/s0140-6736(73)93183-8.
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Dialysis dementia.透析性痴呆
Lancet. 1973 Jul 7;2(7819):47. doi: 10.1016/s0140-6736(73)91987-9.