中国全科医学2011，Vol.14Issue(27)：3134-3136,3.
腹部手术后并发韦尼克脑病四例诊治分析
Diagnosis and Treatment of Wernicke Encephalopathy after Abdominal Surgery:Report of Four Cases
宋文华 1邹杰 1王宜轩 1马靖靖 1韩凯1
作者信息
- 1. 233040安徽省蚌埠市,蚌埠医学院第二附属医院普外科
- 折叠
摘要
Abstract
Objective Wernicke's encephalopathy ( WE ) is prone to be underestimated in clinical practice, especially in patients after abdominal surgery. This article aims to improve the awareness of this disease among surgeons with the hope to raise the early diagnosis rate. Methods Clinical data including clinical features , curative effects of thiamine , and prognosis of 4 WE cases were analyzed retrospectively. Results WE is a severe metabolic encephalopathy of thiamine deficiency and is characterized by acute mental confusion, ataxia, and ophthalmoplegia. The diagnosis of WE is based on clinical signs, curative effects of thiamine and cranial MRI findings. The conditions can be remarkably improved by early supplement of thiamine before the onset of irreversible brain damage. Conclusion Surgeons should be aware of the possibility of acute WE and supplementary thiamine should be delivered to post - abdominal surgery patients as soon as possible when WE is suspected so as to alleviate or prevent irreversible brain damage.关键词
韦尼克脑病/腹部手术/手术后并发症/诊断/治疗Key words
Wernicke encephalopathy/ Abdominal surgery/ Postoperative complication/ Diagnosis/ Therapy分类
医药卫生引用本文复制引用
宋文华,邹杰,王宜轩,马靖靖,韩凯..腹部手术后并发韦尼克脑病四例诊治分析[J].中国全科医学,2011,14(27):3134-3136,3.
