固体器官移植接受者的精神状态改变
Nicolas Weiss1, Henning Pflugrad2, Prem Kandiah3
1Sorbonne Université, AP-HP.Sorbonne Université, Hôpital de la Pitié-Salpêtrière, Neurological ICU, Paris, France.
Seminars in neurology
|August 24, 2024
概括
固体器官移植 (SOT) 患者可能会出现神经问题. 本综述详细介绍了SOT接受者改变精神状态的原因,诊断和管理,以改善结果.
科学领域:
- 神经学 神经学
- 移植医学 移植医学 移植医学
- 关键的护理关键的护理
背景情况:
- 固体器官移植 (SOT) 患者在移植前和移植后面临重大健康挑战.
- 在SOT接受者中,精神状态改变 (AMS) 可以表明具有持久影响的严重神经攻击.
- 神经功能障碍在患者移植后的整个过程中构成持续的风险.
研究的目的:
- 综合审查原因,诊断策略,神经成像发现和SOT接受者AMS的管理.
- 强调在肝移植患者中识别和管理神经系统并发症的重要性.
- 讨论各种SOT类型的神经损伤贡献者.
主要方法:
- 文献综述侧重于SOT中神经学并发症.
- 检查病因,包括代谢,毒性和传染病因.
- 对AMS的诊断和神经成像方法的分析.
主要成果:
- 在SOT患者中,AMS可能源于各种原因,如肝脏脑病,脑,和感染.
- 由于其神经问题的复杂性,肝移植接受者是主要关注的焦点.
- 早期识别和管理神经系统并发症对于优化患者的治疗结果至关重要.
结论:
- 神经学并发症是SOT接受者的重要关注点,影响他们的生活质量和长期预后.
- 对诊断和管理AMS的系统方法对于改善患者的治疗结果至关重要.
- 需要进一步研究特定的神经攻击和量身定制的管理策略.
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