Wernicke脑病的临床进展
郝玲
【期刊名称】《医学综述》 【年(卷),期】2011(017)008
【摘要】Wernicke脑病(WE)是一种因维生素B1缺乏引起的急性中枢神经系统代谢性脑病.WE的临床症状常不典型,极易漏诊和误诊.磁共振成像检查能很好地反映病损部位的异常信号,具有相当的特异性,可为WE的早期诊断提供帮助.WE是少数具有特异性治疗方法的神经系统急危重症之一,因此早期诊断和早期治疗对WE的预后有着重要的意义.及早大剂量补充维生素B1是治疗的关键.%Wernicke's encephalopathy ( WE ) is an acute neurological syndrome resulting from thiamine ( vitamin B1 ) deficiency. Because the clinical manifestation of WE is atypical, it is subject to missed diagnosis and misdiagnosis. MRI has a high specificity for the diagnosis of WE. It can well reflect the abnormal signals of the lesion. So it is helpful for early diagnosis of WE. WE is one of severe nervous disorders that can be specifically treated. Early diagnosis and treatment play an important role in the prognosis of WE. Supplementation of large-dose vitamin B1 is critical for the treatment of WE. 【总页数】4页(1172-1175)
【关键词】Wernicke脑病;维生素B1;磁共振成像 【作者】郝玲
【作者单位】重庆医科大学附属第二医院神经内科,重庆,400016
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