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可逆性脑后部白质病变综合征(reversibleposteriorencephalopathysyndrome,PRES)多见于恶性高血压或妊娠子痫、严重肾脏疾病、恶性肿瘤化疗以及各种器官组织移植后接受免疫抑制治疗的患者,1996年由JudyHinchey提出~([1])。临床上常常误诊,导致治疗策略不正确,影响患者预后。笔者诊治1例,为加深对本综合征的认识,结合文献报道如下。
Reversible Posterior White-matter Disease Syndrome (PRES) is more common in patients with malignant hypertension or eclampsia, severe kidney disease, chemotherapy of malignant tumors, and immunosuppressive therapy after organ transplantation. It was proposed by Judy Hinchey in 1996 ~ ([1]). Clinically often misdiagnosis, resulting in treatment strategy is not correct, affecting the prognosis of patients. The author diagnosis and treatment of a case, in order to deepen the understanding of the syndrome, combined with the literature reported below.