1例妊娠剧吐伴韦尼克脑病的临床护理
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摘要
妊娠呕吐属于早孕反应的正常现象,但如果呕吐频繁且严重,会引起水电解质等出现紊乱,严重者会出现神志改变,继发韦尼克脑病甚至死亡。本院收治了1例妊娠剧吐伴韦尼克脑病的患者,经过合理有效的治疗以及精心护理(密切观察患者的病情变化,给予患者饮食及活动、休息、安全、心理等方面的指导与护理),患者恢复良好,康复出院。
Normal pregnancy vomiting belongs to early pregnancy reaction,but if frequent vomiting and severe,can cause the water electrolyte disorder,severe cases will be changes in consciousness,secondary Wernicke encephalopathy and death.Our hospital treated one patient who had hyperemesis gravidarum with Wernicke encephalopathy,through reasonable and effective therapeutic treatment and careful nursing(having the patient′s condition changes under observation all the time,giving the patient guidance and nursing on diet,activities,rest,safety and mentality),the patient left the hospital with good recovery.
Normal pregnancy vomiting belongs to early pregnancy reaction,but if frequent vomiting and severe,can cause the water electrolyte disorder,severe cases will be changes in consciousness,secondary Wernicke encephalopathy and death.Our hospital treated one patient who had hyperemesis gravidarum with Wernicke encephalopathy,through reasonable and effective therapeutic treatment and careful nursing(having the patient′s condition changes under observation all the time,giving the patient guidance and nursing on diet,activities,rest,safety and mentality),the patient left the hospital with good recovery.
引文
[1]丰有吉,沈铿.妇产科学[M].2版.北京:人民卫生出版社,2011:77.
[2]王玉芝,崔立新,徐海霞.妊娠剧吐并发韦尼克脑病3例临床分析[J].临床研究,2008,46(1):34.
[3]Zhang XP,Lu YQ,Huang WD.Wernicke encephalopathy following splenectomy in a patient with liwer cirrhosis:acase report and review of the literature[J].J Zhejiang Univ Sci B,2010,11(6):433-436.
[4]Jung YC,Chanraud S,Sullivan EV.Neruoimaging of Wernicke′s encephalopathy and Korsakoff′s syndrome[J].Neuropsychol Rev,2012,22(2):170-180.
[5]Pietro SG,Alessandro S.Wernicke′s encephalopathy:new clinical settings and recent advances in diagnosis and managemement[J].Lancet Neurol,2001,6(5):442-455.
[6]Day GS,del Campo CM.Wernicke encephalopathy:a medical emergency[J].CMAJ,2014,186(8):295.
[7]Renthal W,Marin-Valencia I,Evans PA.Thiamine deficiency secondary to anorexia nervosa:an uncommon cause of peripheral neruopathy and Wernicke encephalopathy in adolescence[J].Pediatr Neurol,2014,51(1):100-103.
[8]Chin Y,Yoon K,Park K,et al.Wernicke′s encephalopathy in a patient with masticator and parapharyngeal space abscess:a casereport[J].J Korean Assoc Oral Maxillofac Surg,2016,42(2):120.
[9]卢小兰,李衡.妊娠剧吐伴韦尼克脑病病人的1例护理[J].世界最新医学信息文摘,2014,14(29):527.
[10]李飘环,谢淑连,陈石伙,等.中毒妊娠反应至韦尼克脑病的临床观察及护理[J].临床护理,2005,11(10):111.
[11]李允美,刘文英.26例Wernicke脑病的观察与护理[J].河北医学,2003,5(9):449.
[12]白冰,李春荣,顾忠英,等.妊娠剧吐并发韦尼克脑病1例[J].护理研究,2001,15(3):182.
[13]陈红,张华,漆洪波,等.美国妇产科医师学会“妊娠期恶心呕吐指南2015版”要点解读[J].中国实用妇科与产科杂志,2016,32(10):929.
[14]周露玲.韦尼克脑病的诊治进展[J]现代医药卫生,2016,32(8):1173.
[15]Sechi G,Serra A.Wernicke′s encephalopathy:new clinical settings andrecent advances in diagnosis and management[J].Lancet Neurol,2007,6(5):442-455.
[16]Zubaran C,Fernandes JG,Rodnight R.Wernicke-Korsakoff syndrome[J].Postgrad Med J,1997,73(855):27-31.
[17]陈翠洁,郑月玲,孙继芳.等.妊娠剧吐合并Wernicke脑病的治疗与护理[J].临床合理用药,2013,6(7):64.
[2]王玉芝,崔立新,徐海霞.妊娠剧吐并发韦尼克脑病3例临床分析[J].临床研究,2008,46(1):34.
[3]Zhang XP,Lu YQ,Huang WD.Wernicke encephalopathy following splenectomy in a patient with liwer cirrhosis:acase report and review of the literature[J].J Zhejiang Univ Sci B,2010,11(6):433-436.
[4]Jung YC,Chanraud S,Sullivan EV.Neruoimaging of Wernicke′s encephalopathy and Korsakoff′s syndrome[J].Neuropsychol Rev,2012,22(2):170-180.
[5]Pietro SG,Alessandro S.Wernicke′s encephalopathy:new clinical settings and recent advances in diagnosis and managemement[J].Lancet Neurol,2001,6(5):442-455.
[6]Day GS,del Campo CM.Wernicke encephalopathy:a medical emergency[J].CMAJ,2014,186(8):295.
[7]Renthal W,Marin-Valencia I,Evans PA.Thiamine deficiency secondary to anorexia nervosa:an uncommon cause of peripheral neruopathy and Wernicke encephalopathy in adolescence[J].Pediatr Neurol,2014,51(1):100-103.
[8]Chin Y,Yoon K,Park K,et al.Wernicke′s encephalopathy in a patient with masticator and parapharyngeal space abscess:a casereport[J].J Korean Assoc Oral Maxillofac Surg,2016,42(2):120.
[9]卢小兰,李衡.妊娠剧吐伴韦尼克脑病病人的1例护理[J].世界最新医学信息文摘,2014,14(29):527.
[10]李飘环,谢淑连,陈石伙,等.中毒妊娠反应至韦尼克脑病的临床观察及护理[J].临床护理,2005,11(10):111.
[11]李允美,刘文英.26例Wernicke脑病的观察与护理[J].河北医学,2003,5(9):449.
[12]白冰,李春荣,顾忠英,等.妊娠剧吐并发韦尼克脑病1例[J].护理研究,2001,15(3):182.
[13]陈红,张华,漆洪波,等.美国妇产科医师学会“妊娠期恶心呕吐指南2015版”要点解读[J].中国实用妇科与产科杂志,2016,32(10):929.
[14]周露玲.韦尼克脑病的诊治进展[J]现代医药卫生,2016,32(8):1173.
[15]Sechi G,Serra A.Wernicke′s encephalopathy:new clinical settings andrecent advances in diagnosis and management[J].Lancet Neurol,2007,6(5):442-455.
[16]Zubaran C,Fernandes JG,Rodnight R.Wernicke-Korsakoff syndrome[J].Postgrad Med J,1997,73(855):27-31.
[17]陈翠洁,郑月玲,孙继芳.等.妊娠剧吐合并Wernicke脑病的治疗与护理[J].临床合理用药,2013,6(7):64.