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笔者报告3例颅脑外伤后食欲异常的患者,对其临床特点进行讨论。1临床资料例1男,32岁,交通伤头部,意识不清1 h入院。体检：意识模糊,躁动不安,双鼻孔流血水,眼眶青紫。CT示筛窦积液。以前颅底骨折予对症治疗后病情好转,颅脑MRI示右额叶底部及颞极脑挫裂伤,治疗20 d出院时,患者仍有精神异常。半个月后复诊,家属称患者食欲亢进,食量惊人。且对年轻女性特有好感,需严密看管。予颠茄片2片／次,3次／d治疗,7 d后复诊,食欲亢进症状消失,但仍有精神症状,3个月后恢复正常。
I report 3 patients with abnormal appetite after traumatic brain injury in patients with their clinical features are discussed. 1 clinical data example 1 male, 32 years old, traffic injury head, 1 h admitted to hospital. Physical examination: confusion, restlessness, double nose bleed, eyes bruising. CT showed ethmoid effusion. Previous skull fracture symptomatic treatment after the condition improved, cranial MRI showed the right frontal lobe and temporal cerebral contusion, 20 d treatment at discharge, the patient is still mentally abnormal. Referral after two weeks, family members said patients with appetite hyperthyroidism, food intake amazing. And the unique favor of young women, need to be closely monitored. Belladonna slices 2 tablets / time, 3 times / d treatment, 7 days after the referral, disappearance of appetite hyperthyroidism symptoms, but there are still mental symptoms, returned to normal after 3 months.