【摘要】 目的:通过对以神经系统症状为突出表现的尿毒症患者临床症状进行分析,以明确诊断,指导治疗,提高诊疗水平,减少漏诊、误诊。方法:对神经系统症状突出的40例尿毒症患者进行回顾性分析,分析其首发就诊的神经系统临床症状、分析其产生病因,并辅助实验室检查,明确病因及时救治,同时进行归纳总结。结果:在就诊的神经系统症状为突出表现的尿毒症患者中失衡综合征12例(30.0%),高血压脑病4例(10.0%),狼疮脑病1例(2.5%),肝性脑病1例(2.5%),中枢神经血管炎1例(2.5%),肺性脑病3例(7.5%),脑出血1例(2.5%),脑梗塞8例(20.0%),低钠血症2例(5.0%),高钠血症1例(2.5%),抗生素脑病3例(7.5%),铝中毒1例(2.5%),抑郁症2例(5.0%)。通过及时调整治疗方案大多可获临床缓解。结论:尿毒症患者基础疾病明确,但仍可见多种多样其它临床症状及相关病因,往往引起漏诊或误诊,随着诊疗水平提高,要注意防止少见原因的鉴别诊断,提高认识,早期识别,及时归纳总结。更多还原

【Abstract】 Objective: The uremic patients with outstanding performance of neurological symptoms were analyzed to confirm the diagnosis,guide treatment,improve diagnosis and treatment, reduce misdiagnosis.Methods: 40 cases of uremic patients with outstanding Nervous system symptoms were retrospectively analyzed for their initial treatment of neurological symptoms,clarify its causes and referrence its laboratory examination to Treated promptly,Meanwhile summarized.Results: In the treatment of uremic patients with outstanding performance of neurological symptoms,Disequilibrium syndrome in 12 patients(30.0%),hypertensive encephalopathy four cases(10.0%),lupus encephalopathy in one case(2.5%),hepatic encephalopathy in 1 case(2.5%),central nervous system vasculitis in 1 case(2.5%),pulmonary encephalopathy three cases(7.5%),brain hemorrhage in 1 case(2.5%),cerebral infarction in 8 cases(20.0%),hyponatremia 2 cases(5.0 %),hypernatremia in one patient(2.5%),antibiotics encephalopathy three cases(7.5%),aluminum poisoning,one case(2.5%),depression 2 cases(5.0%).Through the timely adjustment of treatment available most clinical remission.Conclusion: Uremic patients not only had Underlying diseases,but still had a wide variety of clinical symptoms and other related causes which often caused missed or misdiagnosed,with the improvement of diagnosis and treatment,We had to pay attention to prevent rare differential diagnosis of the cause,raising awareness,early recognition and timely summarized.更多还原