一例脑桥中央髓鞘溶解症作为致死性再喂养综合征的罕见临床表现  

Central pontine myelinolysis syndrome as rare clinical manifestation of fatal refeeding syndrome: a case report

作　　者：于孝义 杨洪娜 李文玉 王艳雪 方巍 Yu Xiaoyi;Yang Hongna;Li Wenyu;Wang Yanxue;Fang Wei(Department of Critical Care Medicine,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250101,China)

机构地区：[1]山东第一医科大学附属省立医院重症医学科,济南250101

出　　处：《中华内分泌代谢杂志》2023年第10期890-893,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：国家自然科学基金(81701057)。

摘　　要：再喂养综合征(refeeding syndrome,RFS)最常见的神经系统临床表现为癫痫发作、意识改变。本文介绍1例以脑桥中央髓鞘溶解症(central pontine myelinolysis,CPM)作为其并发症的诊疗过程。本文提示对于RFS治疗过程中发生意识改变合并持续低磷血症患者建议尽早行颅脑MRI检查以排除CPM。The most common neurological clinical manifestations of refeeding syndrome(RFS)are seizures and altered consciousness.This article presents a case in which central pontine myelinolysis(CPM)is a complication of RFS and describes its diagnosis and treatment process.This case highlights the importance of early cranial MRI examination to exclude CPM in patients with persistent hypoghosphatemia and altered consciousness during the course of RFS treatment.

关 键 词：再喂养综合征 脑桥中央髓鞘溶解症 电解质代谢紊乱 低磷血症 多器官功能障碍 

分 类 号：R741[医药卫生—神经病学与精神病学]