血液透析患者药物性脑病40例临床分析

Clinical Analysis of 40 Cases of Drug Induced Encephalopathy in Hemodialysis Patients

目的研究探讨血液透析患者药物性脑病的发病情况及防治方法。方法选取我院收治的尿毒症患者40例作为研究对象,所有患者均行血液透析治疗,并因抗生素的应用出现了药物性脑病的情况,回顾分析患者的临床症状、体征,并给予针对性治疗,观察患者的治疗效果。结果所有40例患者经停药处置和针对性治疗后,症状均得到显著缓解,均痊愈出院。结论尿毒症患者再行血液透析治疗的过程中,可能会因抗生素类药物的应用导致药物性脑病的发生,要做好不良反应的积极监测,并对已发生药物性脑病的患者实施及时停药、充分透析等处理。

Objective To investigate the incidence of drug-induced encephalopathy in hemodialysis patients and its prevention and treatment methods. Methods Selected 40 cases of uremic patients in our hospital as the research object, all patients were treated with hemodialysis, and the use of antibiotics in the case of drug-induced encephalopathy, to review and analyze the clinical symptoms and signs of the patients, to observe the therapeutic effect of the patients. Results All 40 patients were cured and discharged after treatment and targeted therapy. Conclusion In the course of hemodialysis treatment, the use of antibiotics may lead to the occurrence of drug-induced encephalopathy, to do a good job in the active monitoring of adverse reactions, and has occurred in patients with drug-induced encephalopathy after the implementation of timely withdrawal, adequate dialysis and other treatment.