Dexmedetomidine controls twitch-convulsive syndrome in the course of uremic encephalopathy

NomotoK.; ScurlockC.; BronsterD.

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Dexmedetomidine controls twitch-convulsive syndrome in the course of uremic encephalopathy

机译：右美托咪定在尿毒症脑病过程中控制抽搐-抽搐综合征

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An 85 year old man with a history of chronic renal insufficiency was admitted to the cardiothoracic intensive care unit after aortic valve replacement. His postoperative course was marked by acute oliguric renal failure for high blood urea nitrogen (BUN) and acute hyperactive delirium. At this time he also developed tremors with muscle twitching; he received no other form of sedatives. A neurology consult made the diagnosis of twitch-convulsive syndrome associated with uremic encephalopathy. While the patient was receiving the dexmedetomidine infusion, the signs of the twitch-convulsive syndrome, particularly the twitching and tremors, disappeared. Within 30 minutes of the end of the dexmedetomidine infusion, symptoms of the twitch-convulsive syndrome returned, manifesting as acute tremulousness. After several dialysis treatments, his BUN decreased and the dexmedetomidine was weaned, without return of the symptoms of twitch-convulsive syndrome.

机译：一位有慢性肾功能不全病史的85岁男子在主动脉瓣置换后被纳入心胸重症监护病房。他的术后病程以高尿素氮（BUN）和急性多动性ir妄的急性少尿性肾衰竭为特征。这时他还因肌肉抽搐而发抖。他没有收到其他任何形式的镇静剂。一位神经病学专家对尿毒症脑病相关的抽搐-抽搐综合征进行了诊断。在患者接受右美托咪定输注的同时，抽搐-抽搐综合征的体征，特别是抽搐和震颤消失了。在右美托咪定输注结束后的30分钟内，抽搐综合征的症状再次出现，表现为急性颤抖。经过数次透析治疗后，他的BUN减少，右美托咪定断奶，而抽搐-抽搐综合征的症状没有恢复。

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《Journal of clinical anesthesia》 |2011年第8期|共3页
作者
NomotoK.; ScurlockC.; BronsterD.;
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正文语种 eng
中图分类麻醉学;
关键词
Chronic renal insufficiency; Dexmedetomidine; Twitch-convulsive syndrome; Uremic encephalopathy;

机译：慢性肾功能不全;右美托咪定;抽搐-抽搐综合征;尿毒症脑病;

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1. Dexmedetomidine controls twitch-convulsive syndrome in the course of uremic encephalopathy [J] . NomotoK., ScurlockC., BronsterD. Journal of clinical anesthesia . 2011,第8期

机译：右美托咪定在尿毒症脑病过程中控制抽搐-抽搐综合征
2. An adult case of atypical hemolytic uremic syndrome presented with posterior reversible encephalopathy syndrome: Successful response to late-onset eculizumab treatment [J] . Serife Solmaz Medeni, Sinem Namdaroglu, Tugba Cetintepe, Hematology Reports . 2018,第3期

机译：成人非典型溶血性尿毒症综合征伴后可逆性脑病综合征：对迟发的依库丽单抗治疗成功的反应
3. Posterior Reversible Encephalopathy Syndrome in Henoch-Schonlein Purpura and Hemolytic Uremic Syndrome [J] . Kibriya Fidan, Yasar Kandur, Murat Ucar, Journal of Clinical Medicine Research . 2016,第7期

机译：过敏性紫癜后后可逆性脑病综合征和溶血性尿毒症综合征
4. Clinical Study on Treatment of 39 Cases of Uremic Restless Leg Syndrome by Rouxiujiang Decoction Combined with Acupoint Massage [C] . Hongxia Xie, Xin Pang, Xiaoyong Chen, International Conference on Biomedical Engineering, Machinery and Earth Science;Francis Academic Press . 2018

机译：柔秀降汤配合穴位按摩治疗尿毒症腿综合征39例临床研究。
5. Bacterial factors contributing to the pathogenesis of the hemolytic uremic syndrome. [D] . Edwards, Kelly Katherine. 2002

机译：导致溶血性尿毒症综合征发病机理的细菌因素。
6. An adult case of atypical hemolytic uremic syndrome presented with posterior reversible encephalopathy syndrome: Successful response to late-onset eculizumab treatment [O] . Serife Solmaz Medeni, Sinem Namdaroglu, Tugba Cetintepe, 2018

机译：一例非典型溶血性尿毒症综合征伴后可逆性脑病综合征的成人病例：对迟发性依库丽单抗治疗的成功反应
7. An adult case of atypical hemolytic uremic syndrome presented with posterior reversible encephalopathy syndrome: Successful response to late-onset eculizumab treatment [O] . Serife Solmaz Medeni, Sinem Namdaroglu, Tugba Cetintepe, 2018

机译：具有后逆转脑病综合征的非典型溶血性血管综合征的成年案例：对后期生态灭绝治疗的成功反应

Dexmedetomidine controls twitch-convulsive syndrome in the course of uremic encephalopathy

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