胰性脑病诊断思路  

Diagnosis of pancreatic encephalopathy

作　　者：邓淼[1] 富奇志[2] 

机构地区：[1]河南科技大学第一附属医院普外三科,洛阳471003 [2]河南科技大学第一附属医院神经内科,洛阳471003

出　　处：《中国实用神经疾病杂志》2009年第17期14-15,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨胰性脑病正确的诊断及鉴别诊断思路。方法回顾性分析25例急性胰腺炎合并神经功能障碍患者的临床资料。结果25例神经功能障碍明确病因14例,2例Wernicke脑病,2例低氧血症,3例低血糖,4例低钠血症,1例高渗性昏迷,1例脑梗死,1例脑出血。11例经排除其他明确病因,临床诊断为胰性脑病。结论对于急性胰腺炎合并神经功能障碍需尽量排查其他可明确原因方可慎重诊断胰性脑病,以提高救治率。Objective To explore the thinking of diagnosis and differential diagnosis about pancreatic encephalopathy. Methods The clinical data of 25 acute pancreatitis patients with encephalopathy were analyzed retrospectively. Results Fourteen cases had specific causes, including 2 cases of Wernicke encephalopathy, 2 cases of hyoxemia, 3 cases of hypoglycemia, 4 cases of hyponatremia, 1 case of hyperosmolar coma, 1 case of cerebral infarction, 1 case of cerebral hemorrhage. The other 11 cases were diagnosed of pancreatic eneephalopathy being excluded other reasons. Conclusion To diagnose pancreatic encephalopathy, it is needed to exclude other causes reducing to mental disturbance during actue pancreatitis.

关 键 词：胰性脑病 鉴别诊断 

分 类 号：R747.9[医药卫生—神经病学与精神病学]