论文部分内容阅读
目的:探讨十二指肠雍积症(duodenal stasis)并发Wernicke脑病的病因、诊断及治疗。方法:回顾性分析我院1999年1月至2009年12月11例十二指肠雍积症并发Wernicke脑病(Wernicke encephalopathy,WE)的临床资料。结果:在十二指肠雍积症发病及治疗过程中可并发WE,主要为长期进食障碍导致维生素B1缺乏有关,临床表现除典型的十二指肠雍积症症状外,还表现为眼肌麻痹、共济失调、精神异常之WE三联征,头颅MRI有特异性信号改变,及时给予维生素B1治疗者预后多良好。结论:提高对十二指肠雍积症并发WE的认识,有利于早诊断、早干预,有助于改善患者的预后。
Objective: To investigate the etiology, diagnosis and treatment of duodenal stasis complicated with Wernicke encephalopathy. Methods: The clinical data of 11 Wernicke encephalopathy (Wernicke encephalopathy, WE) in 11 cases of duodenal ulcer were retrospectively analyzed from January 1999 to December 2009 in our hospital. Results: In the pathogenesis and treatment of duodenal joint disease, WE may be associated with the main cause of chronic eating disorders lead to vitamin B1 deficiency, clinical manifestations in addition to the typical symptom of Duodenal Yong Qi, but also for the oculomotor Paralysis, ataxia, mental abnormalities triple triple sign, head MRI has a specific signal change, timely treatment of vitamin B1 prognosis and more good. Conclusion: To improve awareness of concurrent WE in duodenal ulcer disease is beneficial to early diagnosis and early intervention, which may help to improve the prognosis of patients.