73例终末期肾衰竭并发神经精神症状的临床分析

Mental and nervous symptom in end-stage renal failure

目的分析终末期肾衰竭并发神经、精神症状的原因。方法回顾性分析本院73例出现神经、精神症状的终末期肾衰竭患者的资料。结果终末期肾衰竭并发神经、精神症状的原因:①多因原发病所致酸中毒、电解质紊乱、尿毒症毒素蓄积因素引起;②与透析有关:失衡综合征、透析不充分;③脑血管器质性病变。结论终末期肾衰竭患者出现神经、精神紊乱症状与多因素有关,应积极治疗原发病,选择恰当的透析方式、频率,预防透析性脑病的发生。

Objective To investigate the main factors of mental and nervous symptom in end- stage renal failure. Methods The clinical dates of mental and nervous symptom in 73 patients with end - stage renal failure were analyzed, Results The common causes of mental and nervous symtom in end- stage renal failure were：①primary diseases：metabolic acidosis, electrolytes disturbance, uremia toxin storage; ②dialysis correlative diseases ： balance disturbance syndrome, dialysis encephalopathy; ③ cerebrovascular organic disease. Conclusion The occurrence of mental and nervous symptom in end - stage renal failure is related to muhifactors. The key role procedures in treatment are to manage the primary diseases and complications . The way and frequency of dialysis should be synthetically determined, to prevent dialysis eneephalopathy.