中国全科医学2012，Vol.15Issue(14)：1625-1626,2.
慢性肾衰竭并发抗生素脑病诊治分析
Diagnosis and Treatment of Chronic Renal Failure Complicated by Antibiotics Encephalopathia
韩亚荣 1周红丽 1蒋数一 2崔向飞 1马艳 1高利丽 1冯欣1
作者信息
- 1. 121001辽宁省锦州市,辽宁医学院附属第一医院肾内科
- 2. 中国医科大学
- 折叠
摘要
Abstract
Objective To investigate the clinical features, mechanisms, preventions and treatment of patients with chronic renal failure ( CRF ) complicated by antibiotics encephalopathia. Methods Clinical data of 25 patients complicated by antibiotics encephalopathia who admitted to our hospital from 2007 to 2009 were retrospectively analyzed. Results All 25 patients had CRF. The patients all suffered from psychiatric symptoms after being treated with cephalosporins for 3 to 14 days with varied degrees of symptoms. Treatment and outcome: all patients stopped using antibiotics. Symptoms of 18 patients were relieved owing to expectant treatment in 3 to 5 days. 7 much severer patients ( including 5 patients with convulsion ) were given hemodiafiltration or hemodialysis plus hemoperfusion and the symptoms were finally relieved. Conclusion Medicine dose should be regulated according to the kidney function and antibiotics encephalopathia should be paid attention to when antibiotics were used for CRF patients who had low immunity and were prone to be infected. If antibiotics encephalopathia appeared, early diagnosis , drug withdrawal and treatment in time were needed. If necessary, different types of blood purification treatment should be used to improve the prognosis of antibiotics encephalopathia patients.关键词
肾功能衰竭,慢性/脑病/头孢菌素类Key words
Kidney failure, chronic/ Encephalopathia/ Cephalosporins分类
医药卫生引用本文复制引用
韩亚荣,周红丽,蒋数一,崔向飞,马艳,高利丽,冯欣..慢性肾衰竭并发抗生素脑病诊治分析[J].中国全科医学,2012,15(14):1625-1626,2.
