37例慢性肾功能不全尿毒症性脑病的临床分析

The clinical analysis of 37 cases with chronic renal insufficiency uremia encephalopathy

目的探讨慢性肾功能不全尿毒症性脑病预防和治疗措施。方法回顾分析37例尿毒症性脑病患者的临床资料,37例患者分别采用血液透析、高通量透析、血液透析滤过及连续性肾脏替代等治疗。结果除1例患者放弃治疗,1例患者抢救无效死亡外,其余35例患者神经精神症状体征均消失。结论充分的血液净化治疗是预防尿毒症性脑病的主要措施,早期及时地进行血液净化治疗是抢救成功的关键。

Objective To investigate the measure of prevention and treatment about the patients with chronic renal insufficiency uremia encephalopathy. Methods Review analyse clinical data of 37 cases with chronic renal insufficiency uremia encephalopathy 37 cases accept difference the treatments of hemodialysis, high flux dialyse, hemediafiltration and continuous kidney replacement therapy. Results Exept 1 case abandon treatment and 1 patient died of salvation inefficacy. The clinical symptoms and physical signs of uremia encephalopathy about the rests were disappeared. Conclusions The Plenary blood purification is the major measure of prevetiont urearia encephalopathy. The key of rescue uremia encephalopathy is early and in time blood purification.