Total parenteral nutrition caused Wernicke's encephalopathy accompanied by wet beriberi.
Total parenteral nutrition caused Wernicke's encephalopathy accompanied by wet beriberi.
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全肠外营养导致韦尼克脑病并伴有湿脚气病
DOI：
10.12659/ajcr.890041
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Lu ZQ
中科院分区：
文献类型：
--
作者：
Long L;Cai XD;Bao J;Wu AM;Tian Q;Lu ZQ
病人：女性，17岁最终诊断：韦尼克脑病症状：视力模糊·头晕·眼球震颤·心动过速用药：-临床程序：-专科：神经病学诊断错误韦尼克脑病（WE）是一种急性和危及生命的疾病，不仅见于酗酒者，也见于缺乏硫胺素（维生素B1）的营养不良者。在这里，我们提出了一个病例WE的病人谁接受肠外营养没有补充硫胺素。除了神经精神问题，她还表现出明显的心血管异常，这与湿性脚气病一致。该病例强调了在长期全肠外营养中补充硫胺素的必要性，也强调了缺乏硫胺素的肠外营养患者对WE的认识。更重要的是，我们呼吁关注这些人的湿脚气病。
Patient: Female, 17 Final Diagnosis: Wernicke’s encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia Medication: — Clinical Procedure: — Specialty: Neurology Mistake in diagnosis Wernicke’s encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine (vitamin B1). Here, we presented a case of WE in a patient who received parenteral nutrition without complement of thiamine. Besides neuropsychiatric problems, she also manifested prominent cardiovascular abnormalities, which were consistent with wet beriberi. This case emphasizes the need for thiamine supplementation in prolonged total parenteral nutrition, and also highlights the awareness of WE in persons with parenteral nutrition lacking thiamine. More importantly, we call for attention to wet beriberi in such persons.