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目的:探讨尿毒症血液透析患者并发脑部症状的病因及危险因素,为防治提供参考。方法:回顾性分析尿毒症血液透析患者并发脑部症状78例临床资料。结果:发生脑部症状病因依次为:失衡综合征(42.3%),低血压(12.8%),高血压脑病(12.8%),TIA(9.0%),脑梗塞(10.3%),脑出血(6.4%),低血糖反应(5.1%),透析脑病(1.3%)。死亡原因主要是脑部严重器质性损害。结论:尿毒症血液透析患者并发脑部症状是多种因素引起,针对不同患者情况,应采取个体化的防治措施。
Objective: To investigate the etiopathogenisis and risk factors of patients with uremia hemodialysis complicated by brain symptoms and provide reference for prevention and treatment. Methods: A retrospective analysis of uremic hemodialysis patients with brain symptoms in 78 cases of clinical data. Results: The causes of brain symptoms were unbalanced syndrome (42.3%), hypotension (12.8%), hypertensive encephalopathy (12.8%), TIA (9.0%), cerebral infarction %), Hypoglycemic response (5.1%), and dialysis encephalopathy (1.3%). The main cause of death is severe brain organic damage. Conclusion: Patients with uremia hemodialysis complicated by brain symptoms are caused by many factors. For different patients, individualized preventive measures should be taken.