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作者观察了26例肾脏病患者的脑血流图的检查结果,病人年龄23～48岁,男11例,女15例。其中17例是慢性肾小球肾炎(多数是肾病型和混合型),9例是慢性肾盂肾炎,所有病例病情均较重,其中12例有慢性肾功能衰竭,16例血压增高达150/100～220/140毫米汞柱。脑血流图分析结果仅2例血压正常,肾功能尚好的年轻慢性肾盂肾炎患者波型正常,而大多数患者脑血流图显示脑血管弹性降低,血管壁紧张度有变化。在记录有相当确定的血管紧张度变化的24例中有 14例(第一组)显示血管紧张度降低,其中有10例以静脉血管床为主的血管张力降低,显示明显的静脉波特别是延长的复波和高振幅的脑电波,可以推测这些患者颅内静脉回流有障碍。与其相应的临床症状在这组许多病人表现为晚间或晨间弥漫性头痛和眼球压迫感,有的出现局灶性神经症状:眼球震颤,眼球运动
The authors examined the results of cerebral blood flow tests in 26 patients with kidney disease. The patients ranged in age from 23 to 48 years with 11 males and 15 females. Of these, 17 were chronic glomerulonephritis (mostly nephropathic and mixed) and 9 were chronic pyelonephritis, all of which were severe, 12 with chronic renal failure and 16 with an increase in blood pressure of 150/100 ~ 220/140 mmHg. Cerebral blood flow analysis showed only 2 patients with normal blood pressure and mild renal dysfunction in patients with chronic chronic pyelonephritis normal wave pattern, and most patients with cerebral blood flow showed decreased cerebral vascular elasticity, vascular wall tension changes. Twenty-four of the 24 patients with documented changes in vascular tone (group 1) showed reduced vascular tone, 10 of whom had reduced vascular tone mainly in the venous bed, indicating significant venous waves, particularly Prolonged complex waves and high amplitude brain waves, can be speculated that these patients with intracranial venous insufficiency obstacles. With its corresponding clinical symptoms in this group of many patients showed diffuse nighttime or morning headache and ocular oppression, and some showed focal neurological symptoms: nystagmus, eye movement