Onizawa Nobuyuki, Ishida Mayumi, Uchida Nozomu, Sato Izumi, Yoshioka Akira, Ito Hiroshi, Onishi Hideki
Department of General Medicine Anz Clinic Sayama City Saitama Japan.
Department of Psycho-oncology Saitama Medical University International Medical Center Hidaka City Saitama Japan.
J Gen Fam Med. 2022 Feb 3;23(3):180-182. doi: 10.1002/jgf2.523. eCollection 2022 May.
The patient was an 83-year-old male who, after being hospitalized for 70 days for suffocation due to aspiration, was provided with home medical care (HMC) as his physical condition did not allow him to climb stairs. Wernicke encephalopathy (WE) was suspected based on his disorientation and a continued loss of appetite. This diagnosis was supported by abnormal serum thiamine and the disappearance of delirium after thiamine administration. In addition, he became able to use stairs. Patients who receive HMC should undergo active screening and receive treatment with WE in mind.
该患者为一名83岁男性，因误吸导致窒息住院70天后，由于身体状况不允许爬楼梯，开始接受家庭医疗护理（HMC）。基于他的定向障碍和持续食欲不振，怀疑患有韦尼克脑病（WE）。血清硫胺素异常以及给予硫胺素后谵妄消失支持了这一诊断。此外，他能够使用楼梯了。接受HMC的患者应进行积极筛查，并考虑对WE进行治疗。
