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There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
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第三百四十五章 案件

Ajay Malhotra1, Mihran Khdhir1

  • 1Department of Radiology and Biomedical Imaging, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, CT 06520.

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概括
此摘要是机器生成的。

这一案例突出显示,在重度饮酒后精神状况发生改变的患者中,发生了严重的代谢性酸症. 大脑MRI揭示了特征性发现,强调了先进成像在诊断与酒精有关的脑损伤的重要性.

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科学领域:

  • 神经学 神经学
  • 毒理学 毒理学 毒理学
  • 紧急医疗 紧急医疗

背景情况:

  • 一名64岁的男性在过度饮酒后表现出没有反应和困惑.
  • 最初的评估显示,缺氧和严重的代谢酸性酸性与高阴离子间隙.

研究的目的:

  • 描述一个患有严重代谢酸症和酒精中毒后精神状态改变的患者的神经影像检测结果.
  • 在潜在的与酒精有关的脑损伤的情况下,将临床表现与神经成像结果关联起来.

主要方法:

  • 获得了全面的代谢面板,动脉血液气体分析和乳酸水平.
  • 最初进行了无对比头部CT和CT血管造影.
  • 脑部MRI,包括扩散加权成像 (DWI),T2-FLAIR和敏感度加权成像 (SWI),在呈现后8小时进行.

主要成果:

  • 动脉血液气体分析显示pH值为6.86,碳酸盐为5.4mmol/L,阳离子间隙增加为28mmol/L.
  • 乳酸盐的含量显著升高,达到7.8 mmol/L.
  • 最初的CT扫描正常,但随后的大脑MRI显示结果与酒精相关的大脑损伤一致 (详见图1-5).

结论:

  • 在大量饮酒的背景下,严重的代谢酸和精神状态的改变需要彻底调查.
  • 大脑MRI,特别是DWI,对于识别与酒精相关的神经并发症相关的微妙或特征性变化至关重要.
  • 这一案例强调了先进的神经成像在诊断和理解毒理紧急情况中脑损伤程度的实用性.