| 肠系膜上动脉压迫综合征并发Wernicke脑病的临床分析 |
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| 引用本文： | 陈少全,王瑜,吕云霄,戴露捷,潘金兰,黄盛. 肠系膜上动脉压迫综合征并发Wernicke脑病的临床分析[J]. 中国普外基础与临床杂志, 2011, 18(1) |
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| 作者姓名： | 陈少全 王瑜 吕云霄 戴露捷 潘金兰 黄盛 |
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| 作者单位： | 南京军区福州总医院普通外科·南京军区普通外科研究所,福建福州,350025 |
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| 摘 要： | 目的探讨肠系膜上动脉压迫综合征(SMAS)并发Wernicke脑病(WE)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月期间收治的11例SMAS并发WE患者的临床资料。结果 9例精神意识障碍患者中8例逐渐清醒,精神意识恢复正常时间为7 d～9周,平均5.2周;1例患者因病情重出现多脏器功能衰竭而死亡。另2例患者眼肌麻痹、共济失调症状改善。所有共济失调、眼球震颤、耳鸣、恶心、出汗等症状均逐渐消失,其中5例患者眼球震颤消失时间为3 h～4 d,平均2.3 d;4例患者共济失调消失时间为3 d～12周,平均7.0周;6例有耳鸣、恶心、出汗表现的患者经治疗后症状在1周内均消失。结论提高对SMAS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。
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| 关 键 词： | Wernicke脑病 肠系膜上动脉压迫综合征 Wernicke脑病三联征 维生素B1 治疗 |
Clinical Analysis of Superior Mesenteric Artery Syndrome Complicated with Wernicke Encephalopathy |
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| CHEN Shao-quan,WANG Yu,LU Yun-xiao,DAI Lu-jie,PAN Jin-lan,HUANG Sheng. Clinical Analysis of Superior Mesenteric Artery Syndrome Complicated with Wernicke Encephalopathy[J]. Chinese Journal of Bases and Clinics In General Surgery, 2011, 18(1) |
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| Authors: | CHEN Shao-quan WANG Yu LU Yun-xiao DAI Lu-jie PAN Jin-lan HUANG Sheng |
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| Abstract: | Objective To explore the pathogenesis,diagnosis and treatment of superior mesenteric artery syndrome(SMAS) complicated with Wernicke encephalopathy(WE).Methods The clinical data of 11 cases of SMAS patients complicated with WE were retrospectively analyzed.Results Of 9 SMAS patients complicated with WE,8 patients were gradually awake and the time of consciousness recovery was from 7 d to 9 weeks(mean 5.2 weeks).Another 1 patient died of multiple organ failure attributed to severe condition.The symptoms of o... |
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| Keywords: | Wernicke encephalopathy Superior mesenteric artery syndrome Wernicke encephalopathy triad Vitamin B1 Treatment |
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