非酒精性韦尼克脑病误诊为心因性呕吐1例  

Misdiagnosis of Non-Alcoholic Wernicke Encephalopathy as Psychogenic Vomiting:A Case Report

作　　者：田尹琳[1] TIAN Yin-lin(Xiaogan Rehabilitation Hospital,Xiaogan,Hubei,432000,China)

机构地区：[1]孝感市康复医院,湖北孝感432000

出　　处：《湖北职业技术学院学报》2024年第5期108-112,共5页Journal of Hubei Polytechnic Institute

摘　　要：韦尼克脑病是一种因硫胺素(维生素B1)严重缺乏所致潜在致命的神经系统疾病。其临床表现多样且缺乏特异性,在精神科住院患者中,常因精神症状掩盖而漏诊误诊。回顾分析一位癫痫性精神病患者因反复间断呕吐误诊为心因性呕吐而延误治疗病例及其诊疗过程,揭示了基层精神科背景下误诊的主要原因,并提出了相应的诊断改进建议,加强多学科会诊、熟练掌握硫胺素缺乏的危险因素,动态评估,早期干预,规范治疗,以改善患者预后。Wernicke's encephalopathy is a potentially fatal neurological disease caused by a severe deficiency of thiamine(vitamin B1).Its clinical manifestations are diverse and lack specificity.In psychiatric inpatients,misdiagnosis is often missed due to the concealment of psychiatric symptoms.A case of delayed treatment due to repeated intermittent vomiting misdiagnosed as psychogenic vomiting in a patient with epileptic psychosis and its diagnosis and treatment process were retrospectively analyzed.The main causes of misdiagnosis in the background of primary psychiatric department were revealed,and corresponding suggestions for diagnosis and improvement were put forward.It is suggested to strengthen multidisciplinary consultation and master the risk factors of thiamine deficiency,dynamic assessment,early intervention and standardized treatment to improve the prognosis of patients.

关 键 词：非酒精性韦尼克脑病 癫痫性精神病 呕吐 硫胺素 误诊 

分 类 号：R74[医药卫生—神经病学与精神病学]