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[对所谓进行性透析脑病的诊断与治疗尝试]

[Diagnostic and therapeutic attempts in so-called progressive dialysis encephalopathy].

作者信息

Sperschneider H, Both R, Mühlau G, Stein G

出版信息

Z Urol Nephrol. 1984 Mar;77(3):183-8.

PMID:6720114
Abstract

57 patients from a chronic intermittent haemodialysis programme underwent 198 EEG examinations over a period of 5 years with follow-up. The results show that regular EEG examinations allow incipient dialysis encephalopathy to be recognized already at the pre-clinical stage. Whereas therapeutic measures always had no effect on the full clinical picture of dialysis encephalopathy and all patients died, in all but one case lengthening the dialysis time prevented the syndrome from reaching the clinical stage and in 6 cases EEG changes were reversed.

摘要

来自一个慢性间歇性血液透析项目的57名患者在5年的随访期间接受了198次脑电图检查。结果表明,定期脑电图检查能够在临床前期就识别出早期透析性脑病。虽然治疗措施对透析性脑病的整个临床症状始终无效,且所有患者均死亡,但除1例外,延长透析时间均能防止该综合征发展至临床阶段,6例患者的脑电图改变得以逆转。

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