血液透析相关门系统脑病1例及文献复习。

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Acta Clinica Belgica Pub Date : 2020-08-01 Epub Date: 2019-03-28 DOI:10.1080/17843286.2019.1595836

Barbara Geerinckx, Rachel Hellemans, Amaryllis H Van Craenenbroeck, Sven Francque, Liesbeth De Waele, Jeroen Kerstens, Pieter-Jan Van Gaal, Bart Bracke, Peter Michielsen, Thomas Vanwolleghem

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引用次数: 0

摘要

血液透析相关性门系统脑病(HRPSE)是一种无肝功能障碍的门系统脑病(PSE)的临床现象，通常由血液透析相关的门系统血流改变引起。我们描述了一例22岁的经颈静脉肝内门静脉分流(TIPS)患者，他在开始血液透析几个月后发展为HRPSE。尽管最初使用泻药和新霉素治疗，症状仍复发。只有将血液透析导管从上腔静脉移至股静脉后，症状才完全消失。

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A rare case of hemodialysis-related portosystemic encephalopathy and review of the literature.

Hemodialysis-related portosystemic encephalopathy (HRPSE) is a clinical phenomenon where portosystemic encephalopathy (PSE) develops without liver dysfunction, usually caused by changes in the portosystemic blood flow related to hemodialysis. We describe the case of a 22-year old patient with a transjugular intrahepatic portosystemic shunt (TIPS) who developed HRPSE several months after initiation of hemodialysis. Despite initial therapy with laxatives and neomycin symptoms recurred. It was only after relocation of the hemodialysis catheter from the superior caval vein to the femoral vein that symptoms completely resolved.

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来源期刊

Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-

CiteScore

3.50

自引率

0.00%

发文量

期刊介绍： Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.