袖子胃切除术后的双:煤矿中的金雀
Anna Whitham1, Kuntal Bhowmick1, Sarah Freeman2
1Internal Medicine Resident; Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI.
Rhode Island medical journal (2013)
|July 26, 2023
概括
维尼克·韦尔尼克 (Wernicke) 是一个
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 营养科学 营养科学
背景情况:
- 韦尼克脑病 (Wernicke's encephalopathy,简称WE) 是一种关键的神经疾病.
- 历史上与酒精使用障碍有关,WE在其他风险人群中越来越多地被认可.
- 营养不良,减肥手术,怀孕时的妊娠过度和神经性厌食症都与WE有关.
研究的目的:
- 在袖子胃切除术后的患者中呈现维尼克脑病变的病例.
- 突出早期诊断和高风险个体的胺治疗的重要性.
- 为了强调在疑似病例中启动胺治疗的低门的必要性.
主要方法:
- 一个年轻女子的案例报告.
- 详细审查她的病史,包括最近的袖子胃切除术和随后的长时间吐.
- 临床评估侧重于神经学检查和系统审查.
主要成果:
- 患者在袖子胃切除术后出现了韦尼克脑病,并持续吐.
- 这个案例说明了与酒精无关的WE的呈现.
- 及时补充胺对于预防不可逆转的神经损伤至关重要.
结论:
- 沃尼克脑病也可能发生在减肥手术后,即使没有酒精使用史.
- 在高危患者中,高度的怀疑指数和及时的神经学评估是必不可少的.
- 早期静脉注射硫胺胺对于维尼克脑病的良好结果至关重要.
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