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维生素 B1 缺乏致 Wernicke 脑病和乳酸性酸中毒

Wernicke Encephalopathy and Lactic Acidosis in Thiamine Deficiency.

机构信息

Section of Pediatric Critical Care Medicine, Department of Pediatrics, Dokuz Eylül University School of Medicine, Izmir, Turkey.

出版信息

Indian Pediatr. 2020 Apr 15;57(4):369-370.

Abstract

Thiamine deficiency can cause encephalopathy (Wernicke) and lactic acidosis. Herein we report a 6-year-old girl on total parenteral nutrition (TPN) who developed lactic acidosis and neurological symptoms due to improper vitamin replacement, which responded to thiamine injection. The MRI brain findings were not typical for Wernicke encephalopathy.

摘要

硫胺素缺乏可导致脑病(Wernicke 脑病)和乳酸性酸中毒。本文报道了 1 例全肠外营养(TPN)患儿,因维生素补充不当导致乳酸性酸中毒和神经系统症状,注射硫胺素后症状缓解。该患儿的脑部 MRI 结果不符合 Wernicke 脑病的典型表现。

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