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慢性病后可逆脑病综合征:病例报告的元总结
Deven Juneja1, Ravi Jain2, Prashant Nasa3
1Director, Department of Critical Care Medicine, Max Super Speciality Hospital, New Delhi, Delhi, India, Orcid: https://orcid.org/0000-0002-8841-5678, Corresponding Author.
The Journal of the Association of Physicians of India
|April 9, 2025
概括
慢性病 (CKD) 患者容易受到后部可逆性脑病综合征 (PRES) 的影响. 及时的血压管理和支持性护理可以使大多数患有PRES的CKD患者完全康复.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 神经学 神经学
背景情况:
- 慢性病 (CKD) 与各种神经系统并发症有关.
- 后回性脑病综合征 (PRES) 是一种罕见但严重的疾病,可以影响患有CKD的患者.
研究的目的:
- 为了确定患有PRES的CKD患者的患者概况,症状学,风险因素和结果.
- 审查已发表的案例报告和系列,以深入了解CKD相关的PRES.
主要方法:
- 在PubMed,Google Scholar和RCA数据库中进行了系统的搜索.
- 关键词包括"慢性功能衰竭"",慢性功能衰竭"",高血压脑病"",PRES"",可逆后脑白内障综合征"或"后脑白内障综合征".
- 涉及成年人的英语案例报告和系列被过并手动选.
主要成果:
- 分析包括来自19个病例报告和9个病例系列的41名患者.
- 常见的症状是发作 (65.9%) 和头痛 (58.5%).
- 高血压在51.2%的病例中存在,其中70.7%的病例在呈现时出现严重高血压. 大多数患者 (78.1%) 需要修改抗高血压药物治疗. 在43.9%的病例中,需要接受ICU治疗,17.1%的病例需要机械通风. 大多数患者 (80.5%) 在平均10.5天内完全康复,只有3例死亡报告.
结论:
- 慢性病患者对PRES敏感,由于非特异性症状,可能被诊断不足.
- 慢性病患者的PRES可以在没有严重高血压或免疫抑制的情况下发生,从而使诊断复杂化.
- 有效的血压管理,抗措施和支持性护理对于患有PRES的CKD患者的良好结果至关重要.
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