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慢性酒精中毒引起眼球运动异常,共济失调,意识障碍等常要考虑Wernicke脑病。1914年Wernicke脑病被认为是妊娠剧吐的并发症[1]。现将1990年1月~1997年12月收治的妊娠剧吐致Wernicke脑病7例进行临床分析。结果发现该病发生在妊娠剧吐4~8周后,妊娠6~14周发病,产生Wernicke脑病三联症,临床危害较大,预后欠佳。结论:对妊娠剧吐者应常规应用维生素B1治疗,禁止补充糖类物质,以预防Wernicke脑病的发生。
Chronic alcoholism caused by eye movement disorders, ataxia, disturbance of consciousness often consider Wernicke encephalopathy. 1941 Wernicke’s encephalopathy is considered as a complication of hyperemesis gravidarum [1]. Now January 1990 ~ December 1997 treatment of vomiting induced Wernicke encephalopathy in 7 cases for clinical analysis. The results showed that the disease occurs in 4 to 8 weeks after the hyperemesis gravidarum, the incidence of 6 to 14 weeks of pregnancy, resulting in Wernicke encephalopathy triad disease, clinical harm, poor prognosis. Conclusion: Vitamin B1 should be routinely administered to patients with hyperemesis gravidarum, sugars should not be added to prevent Wernicke’s encephalopathy.