本文报道2例长期血液透析治疗中出现全身性癫痫发作。 病例报告 例1 男性,35岁。患慢性肾功能衰竭1年余,在我院血液透析中心接受治疗4个月,每周2次。于第32次血液透析中出现头胀痛,随即意识不清,四肢抽搐,双眼向左上凝视,口吐白沫,约7min缓解,发作后无记忆。约3h后症状再次发生,持续3min,经静推安定,肌注鲁米那钠后控制。既往无癫痫发作史。内科检查:贫血貌,皮肤粘膜未见出血,心,肺,腹(-)。神经系统查意识清,吐字不清,反应略迟钝。颅神经正常,除左上肢腱反射活跃外,余均正常。辅 This article reports the occurrence of systemic seizures in two long-term hemodialysis patients. Case Report 1 male, 35 years old. Chronic renal failure more than 1 year, hemodialysis center in our hospital for treatment for 4 months, 2 times a week. In the 32nd hemodialysis headache, then unconsciousness, limbs twitching, eyes staring to the left, foaming at the mouth, about 7min ease, no memory after the attack. About 3h after the onset of symptoms, sustained 3min, the stability of the push, intramuscular injection of luminal sodium control. Past history of seizures. Medical examination: anemia appearance, skin and mucous membrane no bleeding, heart, lung, abdomen (-). Check the nervous system, clear articulation, the reaction a little slow. Normal cranial nerves, in addition to the left upper limb tendon reflex active, I were normal. auxiliary