CRF neuromuscular complications are common, including uremic encephalopathy, uremic neuropathy, drug-induced nerve damage, dialysis-induced neurological disorders, cerebrovascular accident five categories.
Uremic encephalopathy, also known as renal encephalopathy, the clinical manifestations are the following aspects: brain failure state; severe mental illness, including depression, manic state, hallucinations and delusions; disturbance of consciousness; flapping wing tremor, hand and tongue The intention of tremor; myoclonus; seizures; ataxia, muscle tremor and so on.
Uremic neuropathy usually occurs after glomerular filtration rate <12ml / min, clinical manifestations include: peripheral neurological symptoms, began to restless legs syndrome, leg discomfort, lower extremity deep itching, ants or tingling , Evening aggravated, active or walking can be alleviated. Can also be expressed as burning foot syndrome, foot swelling or tightening, tenderness, followed by acral abnormalities and burning, motor conduction speed slowed down; cranial nerve and brainstem symptoms, appear magic smell, olfactory inversion, vision Loss of vision, vision loss may be completely lost, dilated or reduced pupil, diplopia, nystagmus, dizziness, hearing loss, weak facial muscles, swallowing fatigue; autonomic symptoms have dilated pupils, saliva thin, tachycardia Or slow, sweating, dry skin, after eating vomiting or diet has nothing to do with the morning vomiting and diarrhea, body temperature loss of normal fluctuations; muscle disease showed gastrocnemius, femoral muscle and toe flexor group of painful spasm, commonly appear night attack.
Drug-induced nerve damage is due to polymyxine, streptomycin, kanamycin, barbiturate, penicillin, butyramide and other drug poisoning caused by the performance of mental disorders, convulsions, coma, Levy, the 8th brain cells damage and so on.
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