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咀嚼肌及咽旁间隙脓肿患者并发韦尼克脑病:一例报告

Wernicke's encephalopathy in a patient with masticator and parapharyngeal space abscess: a case report.

作者信息

Chin Young-Jai, Yoon Kyu-Ho, Park Kwan-Soo, Park Jae-An, Woo Min-Ho

机构信息

Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2016 Apr;42(2):120-2. doi: 10.5125/jkaoms.2016.42.2.120. Epub 2016 Apr 27.

Abstract

Wernicke's encephalopathy is a fatal neurological disease caused by thiamine deficiency. Many reports indicate that Wernicke's encephalopathy is caused by malnutrition. We report the case of a 79-year-old female patient who had a left masticator space and parapharyngeal space abscess who was diagnosed with Wernicke's encephalopathy. She reported problems while eating due to the presence of the abscess, but the true quantities of food she was ingesting were never assessed. Clinicians have a responsibility to provide adequate nutritional support by ensuring that patients receive adequate nutrition. Clinicians should also keep in mind that Wernicke's encephalopathy may occur in patients who experienced prolonged periods of malnutrition.

摘要

韦尼克脑病是一种由硫胺素缺乏引起的致命性神经系统疾病。许多报告表明,韦尼克脑病由营养不良所致。我们报告一例79岁女性患者,她患有左侧咀嚼肌间隙及咽旁间隙脓肿,并被诊断为韦尼克脑病。她因脓肿存在而自述进食时有问题,但从未评估过她实际摄入的食物量。临床医生有责任通过确保患者获得充足营养来提供充分的营养支持。临床医生还应牢记,韦尼克脑病可能发生在经历长期营养不良的患者身上。

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