Bose P, Kunnacherry A, Maliakal P
Hull Royal Infirmary, Hull, UK.
J R Coll Physicians Edinb. 2011 Sep;41(3):211-4. doi: 10.4997/JRCPE.2011.305.
A 55-year-old woman with a history of excess alcohol intake presented to the acute medical unit following concerns regarding her electrolyte disturbances. During correction of the electrolytes, the patient developed central pontine myelinolysis. The unusual features in the case were the absence of hyponatraemia which is usually associated with central pontine myelinolysis and also the good recovery that the patient made. Looking at the electrolyte changes, we suspect there may be a link to the rapid osmotic shifts occurring during refeeding and central pontine myelinolysis.
一名有过量饮酒史的55岁女性因担心电解质紊乱而被送至急性内科病房。在纠正电解质过程中，该患者发生了中央脑桥髓鞘溶解症。该病例的不寻常之处在于不存在通常与中央脑桥髓鞘溶解症相关的低钠血症，而且患者恢复良好。从电解质变化来看，我们怀疑在重新进食期间发生的快速渗透变化与中央脑桥髓鞘溶解症之间可能存在关联。
