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患者男,49岁。因行走不稳、四肢震颤1个月,近事遗忘、幻视、精神异常14天,于1988年11月12日第1次入院。患者有饮散装白酒史24年(0.5～0.75kg/d),常以酒代饭。查体:T40℃,Bp8/10kPa。定向力、计算力、近记忆力均障碍,四肢远端不自主粗大震颤。颅神经检查可见双眼外展略受限,四肢肌力V°,肌张力高,共济运动障碍,强握反射阳性,双膝以下套式感觉减退。颅脑CT示广泛脑萎缩。脑电图示弥漫性低波幅慢活动。入院后即予物理降温,肌注维生素B_1600ml/d和静滴能量合剂、乙酰谷酰胺等。3天后体温正
Male patient, 49 years old. Due to unstable walking, trembling limbs for 1 month, recent forgetting, visual hallucinations, mental disorders for 14 days, on November 12, 1988 the first admission. Patients have a history of drinking bulk white wine 24 years (0.5 ~ 0.75kg / d), often on behalf of the wine. Physical examination: T40 ℃, Bp8 / 10kPa. Directional force, calculation of force, near memory are obstacles, limbs distal involuntary thick tremor. Cranial nerve examination revealed a limited stretch of his eyes, limb muscle strength V °, high muscle tension, ataxia disorder, strong grip positive reflection, knees below the nest feel decreased. Brain CT showed extensive brain atrophy. EEG showed diffuse low amplitude slow activity. After admission to the physical cooling, intramuscular injection of vitamin B_1600ml / d and intravenous infusion of energy mixture, such as acetyl glutamine. 3 days after the body temperature is positive