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全胃肠外营养导致韦尼克脑病并伴有湿性脚气病。

Total parenteral nutrition caused Wernicke's encephalopathy accompanied by wet beriberi.

作者信息

Long Ling, Cai Xiao-Dong, Bao Jian, Wu Ai-Min, Tian Qing, Lu Zheng-Qi

机构信息

Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Department of Neurology, Sixth Affiliated Hospital, Sun Yat-Sen University (Guangdong Gastrointestinal and Anal Hospital), Guangzhou, China.

出版信息

Am J Case Rep. 2014 Feb 1;15:52-5. doi: 10.12659/AJCR.890041. eCollection 2014.

DOI:10.12659/AJCR.890041
PMID:24516692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3917879/
Abstract

PATIENT

Female, 17 FINAL DIAGNOSIS: Wernicke's encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia

MEDICATION

  • Clinical Procedure: - Specialty: Neurology.

OBJECTIVE

Mistake in diagnosis.

BACKGROUND

Wernicke's encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine (vitamin B1).

CASE REPORT

Here, we presented a case of WE in a patient who received parenteral nutrition without complement of thiamine. Besides neuropsychiatric problems, she also manifested prominent cardiovascular abnormalities, which were consistent with wet beriberi.

CONCLUSIONS

This case emphasizes the need for thiamine supplementation in prolonged total parenteral nutrition, and also highlights the awareness of WE in persons with parenteral nutrition lacking thiamine. More importantly, we call for attention to wet beriberi in such persons.

摘要

患者

女性，17岁 最终诊断：韦尼克脑病 症状：视力模糊、头晕、眼球震颤、心动过速

用药情况

  • 临床操作：- 专科：神经科。

客观情况

诊断错误。

背景

韦尼克脑病（WE）是一种急性且危及生命的疾病，不仅见于酗酒者，也见于缺乏硫胺素（维生素B1）的营养不良者。

病例报告

在此，我们报告一例在接受不含硫胺素肠外营养的患者中发生的韦尼克脑病。除神经精神问题外，她还表现出明显的心血管异常，这与湿性脚气病一致。

结论

该病例强调了在长期全肠外营养中补充硫胺素的必要性，也凸显了对缺乏硫胺素肠外营养患者中韦尼克脑病的认识。更重要的是，我们呼吁关注此类患者中的湿性脚气病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b22/3917879/1345e2b7bbe7/amjcaserep-15-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b22/3917879/1345e2b7bbe7/amjcaserep-15-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b22/3917879/1345e2b7bbe7/amjcaserep-15-52-g001.jpg

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A case of ST-elevation and nystagmus--when coronary thrombosis is not to blame.一起 ST 段抬高伴眼球震颤病例——并非都是血栓惹的祸。
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