急性胰腺炎并发Wernicke脑病(附二例报告)

Wernicke encephalopathy complicate with acute pancreatitis in two patients

目的 提高对非酒精中毒病人因长期静脉输液、补充肠外营养而造成的Wernicke脑病的认识。 方法 报道 2例急性胰腺炎病人的临床资料。 结果 2例患者按常规治疗原则给予禁食补液治疗后出现Wernicke脑病。 结论 对需长期禁食补液者、慢性酒精中毒、任何原因引起的长期呕吐、营养不良者都应及时常规补充维生素B1。

Objective In order to pay enough attention to nonalcoholic Wernicke Encephalopathy(WE) developed after prolonged intravenous fluids infusion and parenteral nutrition support, two patients with acute pancreatitis were reported to develope WE followed by being fasting and kept on intravenous fluids therapy as routine. Conclusions Thiamine should be given in time to patients who need prolonged fasting and infusion,or with long-term vomiting for any reasons,or with malnutrition and to those chronic alcoholist.