妊娠合并韦尼克脑病的危险因素和处理
Risk factors and management for pregnancy with Wernicke encephalopathy
邹丽颖 1张为远1
作者信息
- 1. 首都医科大学附属北京妇产医院/北京妇幼保健院围产医学部,北京 100026
- 折叠
摘要
妊娠合并韦尼克脑病(WE)是由维生素B1缺乏导致的急性脑病综合征,多见于妊娠剧吐孕妇,典型临床表现为脑病、眼球运动障碍和小脑性共济失调三联征,头颅磁共振成像对于WE的早期诊断具有重要意义.治疗措施应足量补充维生素B1,并纠正妊娠剧吐,必要时终止妊娠.孕期补充维生素B1是预防WE的关键.
Abstract
Pregnancy with Wernicke encephalopathy(WE)is an acute encephalopathy syndrome caused by vitamin B1 deficiency,which is more common in pregnant women with hyperemesis gravidarum.The typical clinical manifestations are encephalopathy,eye movement disorder and cerebellar ataxia.Cranial MRI is important for early diagnosis of WE.Treatments in-clude supplementation of adequate amount of vitamin B,and correction of hyperemesis gravidarum,and pregnancy should be terminated if necessary.Vitamin B,supplementation during pregnancy is the key to preventing WE.
关键词
妊娠/韦尼克脑病/维生素B1缺乏Key words
pregnancy/Wernicke encephalopathy/vitamin B1 deficiency引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据