尿毒症性脑病致癫痫样发作13例的临床分析  

The Clinical Analysis of 13 Cases with Uremic Encephalopathy

作　　者：邱金华[1] 蔡讯[2] 罗伟良[1] 刘红英[1] 钟柳兴[1] 

机构地区：[1]广东省惠州市中心人民医院神经内科,广东惠州516001 [2]广东省惠州市中心人民医院肾内科,广东惠州516001

出　　处：《中国现代医生》2009年第18期246-246,249,共2页China Modern Doctor

摘　　要：目的总结分析以尿毒症性脑病表现为癫痫样发作的患者的临床资料,并探讨适宜的治疗措施。方法回顾性分析13例尿毒症伴癫痫样发作的临床资料及治疗方法。结果8例患者临床缓解,2例死于心衰,2例死于呼吸道感染,1例原因为多脏器功能衰竭,1例因经济原因放弃治疗。结论尿毒症性脑病是慢性肾衰竭患者尿毒症晚期多种原因所致脑部的病变,其中癫痫样发作是常见并发症之一,除对症处置外,及时应采用适当的血液净化方式是关键。Objective To study the seizure of uremic encephalopathy and investigate the treatment of this disease. Methods Review analyse clinical data of 13 cases uremic encephalopathy. Results 8 case were getting better, 2 cases died of heart failure,2 cases died of lung infectious, 1 case died of multiple system organ failure, 1 case abandoned treatments. Conclusion Neuropsyehic symptom in end-stage uremia was related to multiple factors.Seizure is one frequent side symptom,the key of rescue uremic encephalopathy is early in time blood dialysis filter（HDF）.

关 键 词：尿毒症 尿毒症脑病 癫痫样发作 血液透析滤过 

分 类 号：R692[医药卫生—泌尿科学]