以全科临床诊疗思维诊治慢性酒精中毒致韦尼克脑病1例报道

A Case of Wernicke’s Encephalopathy Caused by Chronic Alcoholism Was Diagnosed and Treated by General Clinical Diagnosis and Treatment Thinking

韦尼克脑病典型三联征包括精神状态改变、眼肌麻痹、共济失调,其最常见的病因为慢性酒精中毒。但在临床上发生韦尼克脑病的患者中具有典型三联征者仅占少数,故该病容易被误诊。全科临床诊疗思维是指全科医生运用以人为中心的诊疗策略,从而对患者进行全面的诊治。本文通过报道1例韦尼克脑病的诊疗经过,探讨这一少见神经系统疾病的全科诊疗思维,并结合文献复习韦尼克脑病的相关知识,旨在为全科医生诊治此疾病提供思路,从而达到早发现、早诊断、早治疗的目的,同时减少该疾病的误诊。

The typical triad of Wernicke’s encephalopathy includes altered mental status, ophthalmoplegia, and ataxia. The most common cause is chronic alcoholism. However, only a small number of patients with Wernicke’s encephalopathy have typical triad, so it is easy to be misdiagnosed. General prac-tice clinical diagnosis and treatment thinking refers to the use of a people-centered general practice service model by general practitioners to comprehensively diagnose and treat patients. By report-ing the diagnosis and treatment of one case of Wernicke encephalopathy, this paper discusses the general diagnosis and treatment thinking of Wernicke encephalopathy, a rare neurological disease, and reviews the relevant knowledge of Wernicke encephalopathy in combination with literature, aiming to provide ideas for general practitioners to diagnose and treat this disease, so as to achieve the purpose of early detection, early diagnosis and early treatment, and reduce the misdiagnosis of the disease.