Rozentryt P, Stryjewski D, Zembala M
Wojewódzki Ośrodek Kardiologii w Zabrzu.
Postepy Hig Med Dosw. 1995;49(6):767-82.
The autonomic impairment, which is the frequent complication of end-stage renal failure, may eventually trigger numerous crippling consequences. It is doubtful if standard dialysis techniques may effectively treat once developed autonomic lesions. Renal transplantation seems to be much more efficient. The article points out the discrepancies in symptoms attributable to autonomic impairment and results of autonomic testing, discusses also differences between somatic and autonomic nervous system involvement in uremic patients. The one of the most important part of the article describes the practical approach to the patient with severely symptomatic uremic autonomic neuropathy. Finally the authors articulate their proposals for further research on uremic autonomic neuropathy.
自主神经功能障碍是终末期肾衰竭常见的并发症，最终可能引发诸多严重后果。一旦出现自主神经病变，标准透析技术能否有效治疗尚存疑问。肾移植似乎更有效。本文指出了自主神经功能障碍所致症状与自主神经检测结果之间的差异，还讨论了尿毒症患者躯体和自主神经系统受累情况的差异。文章最重要的部分之一描述了对有严重症状的尿毒症自主神经病变患者的实际诊疗方法。最后，作者阐述了他们对尿毒症自主神经病变进一步研究的建议。
