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韦尼克-科尔萨科夫综合征中的体温过低与昏迷。

Hypothermia and coma in the Wernicke-Korsakoff syndrome.

作者信息

Kearsley J H, Musso A F

出版信息

Med J Aust. 1980 Nov 1;2(9):504-6. doi: 10.5694/j.1326-5377.1980.tb100713.x.

DOI:10.5694/j.1326-5377.1980.tb100713.x
PMID:7207347
Abstract

The development of hypothermia and coma are rare complications of the Wernicke-Korsakoff syndrome. This report describes three patients with Wernicke's encephalopathy in whom hypothermia was a presenting feature. The second patient described was also comatose. The frequency of occurrence and the significance of these signs are reviewed in detail, as is their potential reversibility with adequate doses of parenteral thiamine. More careful attention to the rectal temperature in patients with Wernicke's encephalopathy may reveal a higher frequency of hypothermia than has been previously suspected.

摘要

体温过低和昏迷是韦尼克-科尔萨科夫综合征罕见的并发症。本报告描述了3例以体温过低为首发特征的韦尼克脑病患者。所描述的第二例患者也处于昏迷状态。文中详细回顾了这些体征的发生频率和意义,以及给予足够剂量胃肠外硫胺素后其潜在的可逆性。对韦尼克脑病患者的直肠温度给予更密切关注,可能会发现体温过低的发生率比之前所怀疑的更高。

相似文献

1
Hypothermia and coma in the Wernicke-Korsakoff syndrome.韦尼克-科尔萨科夫综合征中的体温过低与昏迷。
Med J Aust. 1980 Nov 1;2(9):504-6. doi: 10.5694/j.1326-5377.1980.tb100713.x.
2
Coma in the Wernicke-Korsakoff syndrome.韦尼克-科尔萨科夫综合征中的昏迷
Lancet. 1978 Aug 19;2(8086):400-1. doi: 10.1016/s0140-6736(78)91867-6.
3
Coma and hypothermia in Wernicke's encephalopathy.
Aust N Z J Med. 1980 Aug;10(4):438-9. doi: 10.1111/j.1445-5994.1980.tb04098.x.
4
Magnesium deficiency: a possible cause of thiamine refractoriness in Wernicke-Korsakoff encephalopathy.镁缺乏:韦尼克-科尔萨科夫脑病中硫胺素难治性的一个可能原因。
J Neurol Neurosurg Psychiatry. 1974 Aug;37(8):959-62. doi: 10.1136/jnnp.37.8.959.
5
Coma as presenting manifestation of Wernicke's encephalopathy.
J Emerg Med. 1985;3(5):361-3. doi: 10.1016/0736-4679(85)90320-8.
6
[Clinico-electroencephalographic correlations in Wernicke's encephalopathy with Korsakoff's syndrome].[韦尼克脑病合并科萨科夫综合征的临床与脑电图相关性]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1967;67(2):259-62.
7
[Hypothermia in Wernicke's encephalopathy].
Rev Neurol (Paris). 1987;143(10):684-6.
8
[Respiratory distress syndrome and hypothermia in Wernicke's encephalopathy].
Schweiz Med Wochenschr. 1985 Dec 7;115(49):1764-6.
9
[Clinical and neuropathological aspects of Wernicke-Korsakoff syndrome].[韦尼克-科尔萨科夫综合征的临床与神经病理学方面]
Rev Saude Publica. 1996 Dec;30(6):602-8. doi: 10.1590/s0034-89101996000600015.
10
Reversible coma in Wernicke's encephalopathy.韦尼克脑病中的可逆性昏迷。
Postgrad Med J. 1985 Jul;61(717):607-10. doi: 10.1136/pgmj.61.717.607.

引用本文的文献

1
Alcohol dementia and thermal dysregulation: a case report and review of the literature.酒精性痴呆与体温调节障碍:一例病例报告及文献综述
Am J Alzheimers Dis Other Demen. 2008;23(6):563-70. doi: 10.1177/1533317508323479.
2
Thiamine deficiency-induced disruptions in the diurnal rhythm and regulation of body temperature in the rat.硫胺素缺乏引起大鼠昼夜节律和体温调节的紊乱。
Metab Brain Dis. 1998 Sep;13(3):225-39. doi: 10.1023/a:1023276009477.
3
Reversible coma in Wernicke's encephalopathy.韦尼克脑病中的可逆性昏迷。
Postgrad Med J. 1985 Jul;61(717):607-10. doi: 10.1136/pgmj.61.717.607.