[意識の低下を誘発する肺炎の2つの症例]
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PubMedで要約を見る
まとめ
この要約は機械生成です。阻害性ピエロネフリティスは高血圧を引き起こし,意識の低下につながります. 尿路カテーテリゼーションなどの迅速な治療は,これらのまれなケースで神経学的症状を改善することができます.
科学分野
- 腎臓科
- 神経学
- 泌尿器科
背景
- 阻害性腎炎は深刻な腎臓感染症です.
- 血中のアンモニア濃度の上昇は 神経機能障害を引き起こす可能性があります
- 阻害性ピエロネフライトとハイパーアモネミアの関連性は稀だが,臨床的に有意である.
研究 の 目的
- ハイパーアモネミアと意識の低下を伴う 阻害性ピエロネフライトの2例を報告する.
- 尿路感染症と精神状態の変化の患者におけるハイパーアモネミアの重要性を強調する.
主な方法
- 高齢の女性2人の症例報告
- 診断評価には,ヒドロネフロシスとヒドロウレータのためのコンピュータトモグラフィー (CT) が含まれていた.
- 血中のアンモニア濃度が測定された.
主要な成果
- 2人の患者は意識障害と血栓症を呈した.
- CT検査では 両方の症例で 阻害性骨髄炎が検出されました
- 血中アンモニア濃度の上昇 (208 μg/ dl,133 μg/ dl) が観察されました.
- 神経学的症状は尿路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路経路
結論
- ハイパーアモネミアは 阻害性ピエロネフライトの希少だが潜在的な合併症である.
- 臨床医は,尿路感染症と長期にわたる意識障害の患者において,ハイパーアモネミアを疑うべきである.
- 尿路経路カテーテリゼーションは,これらの患者にハイパーアモネミアの解消と意識の改善のための効果的な治療法である.
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