肝硬化合并韦尼克脑病1例报告

何丽丽; 宁秀景; 郭晓林; 季慧范

doi:10.3969/j.issn.1001-5256.2016.08.033

肝硬化合并韦尼克脑病1例报告

DOI: 10.3969/j.issn.1001-5256.2016.08.033

吉林大学白求恩第一医院肝胆胰内科

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中图分类号: R575.2;R741
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出版历程
- 出版日期: 2016-08-20

Hepatic cirrhosis with Wernicke encephalopathy: a case report

Department of Hepatology,The First Hospital of Jilin University

摘要

摘要: <正>1病例资料患者女性,62岁,入院前1个月无明显诱因出现眩晕、恶心、呕吐,就诊于外院予以治疗后,恶心、呕吐缓解,但仍感眩晕,入院前4 d行头部核磁检查提示桥脑、双侧丘脑梗死,考虑"基底动脉尖综合征",给予对症治疗后,患者出现意识模糊,反应差,后就诊于本院,门诊收入神经内科。病程中,患者无饮水呛咳、肢体功能障碍、抽搐,自发病以来,饮食、睡眠差,二便
- 肝硬化 /
- 韦尼克脑病 /
- 病例报告
- liver cirrhosis /
- Wernicke encephalopathy /
- case reports

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参考文献(7)

[1]WANG HX,ZHANG L,YANG XS,et al.Clinical analysis of Wernicke's encephalopathy(report of 16 cases)[J].J Apoplexy Nerv Dis,2011,28(7):616-619.(in Chinese)王红星,张乐,杨晓苏,等.韦尼克脑病16例临床分析[J].中风与神经疾病杂志,2011,28(7):616-619.

[2]GU C,ZHANG R.Wernicke's encephalopathy[J].Chin J Clin Neuro Sci,2009,17(3):328-331.(in Chinese)顾翠,张锐.Wernicke脑病[J].中国临床神经科学,2009,17(3):328-331.

[3]CERASE A,RUBENNI E,RUFA A,et al.CT and MRI of Wernicke's encephalopathy[J].Radiol Med,2011,116(2):319-333.

[4]ZHANG XY,WANG KP,YIN J.MRI diagnosis and clinical treatment of Wernicke encephalopathy[J].Chin J Pract Nerv Dis,2015,18(16):65-67.(in Chinese)张晓亚,王昆鹏,殷洁.Wernicke脑病的MRI诊断与临床[J].中国实用神经疾病杂志,2015,18(16):65-67.

[5]FEI GQ,ZHONG CJ,JIN LR,et al.Clinical and MRI features of nonalcoholic Wernicke's encephalopathy[J].Chin Comput Med Imag,2008,14(1):11-16.(in Chinese)费国强,钟春玖,金莉蓉,等.非酒精中毒性韦尼克脑病的临床与MRI特征[J].中国医学计算机成像杂志,2008,14(1):11-16.

[6]PRAKASH R,MULLEN KD.Mechanisms,diagnosis and management of hepatic encephalopathy[J].Nat Rev Gastroenterol Hepatol,2010,7(9):515-525.

[7]DING K,HU PF,XIE WF.Diagnosis and treatment for hepatic encephalopathy[J].Chin J Gastroenterol,2015,20(2):65-71.(in Chinese)丁凯,胡平方,谢渭芬.肝性脑病的诊断和治疗[J].胃肠病学,2015,20(2):65-71.

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