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[非酒精性硫胺素缺乏所致神经病变:两例膀胱功能障碍病例]

[Neuropathy with non-alcoholic thiamine deficiency: two cases of bladder disorders].

作者信息

Mazevet D, Vassilev K, Perrigot M

机构信息

Service de médecine physique et de réadaptation, hôpital de la Pitié-Salpêtrière, 47, boulevard de l'hôpital, 75675 Paris cedex 13, France.

出版信息

Ann Readapt Med Phys. 2005 Feb;48(1):43-7. doi: 10.1016/j.annrmp.2004.06.054.

Abstract

INTRODUCTION

Neuropathy with non-alcoholic thiamine deficiency is reported in the literature, but bladder disorders are rarely detailed.

CASE REPORTS

We report two cases of bladder disorders in neuropathy with thiamine deficiency. One patient presented with a flaccid bladder and impaired sensation; the postvoid residual volume was raised. The other patient had reduced bladder capacity, with detrusor hyperreflexia and detrusor-sphincter dyssynergia. In both cases, the bladder disorders disappeared with thiamine supplementation.

CONCLUSION

Bladder symptoms may be heterogeneous in nonalcoholic neuropathy. The prognosis is good after vitamin supplementation.

摘要

引言

文献报道了非酒精性硫胺素缺乏所致的神经病变,但膀胱功能障碍很少被详细描述。

病例报告

我们报告两例硫胺素缺乏所致神经病变伴膀胱功能障碍的病例。一名患者表现为膀胱弛缓及感觉障碍,残余尿量增加。另一名患者膀胱容量减小,伴有逼尿肌反射亢进和逼尿肌-括约肌协同失调。两例患者补充硫胺素后膀胱功能障碍均消失。

结论

非酒精性神经病变中的膀胱症状可能具有异质性。补充维生素后预后良好。

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