Jack R, Rabin P L, McKinney T D
Int J Psychiatry Med. 1983;13(4):309-26. doi: 10.2190/c36r-6wgp-lcyu-9vrg.
Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly progressive, recent evidence linking the illness to aluminum overload has led to advances in prevention and treatment. Early diagnosis aids in the reversal or amelioration of the syndrome and can be of immense value to the patient, the family and involved health personnel. The general features of the syndrome, etiologic considerations, differential diagnosis and treatment are discussed. Three case studies are included to illustrate salient features of the syndrome.
透析性脑病（DE）是一种独特的神经精神综合征，通常发生在长期接受血液透析的患者中。其特征是脑电图异常，并伴有言语、认知、运动、情感或行为障碍。以前认为该病会持续进展，最近将该疾病与铝过载联系起来的证据推动了预防和治疗方面的进展。早期诊断有助于该综合征的逆转或改善，对患者、家庭及相关医护人员具有巨大价值。本文讨论了该综合征的一般特征、病因、鉴别诊断及治疗。文中包含三个病例研究以说明该综合征的显著特征。
