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对疑似脑血管病的Wernicke脑病1例分析如下。1病历摘要男,52岁。因双下肢疼痛10 a,精神恍惚3 d入院。患者10 a前出现双下肢疼痛,双足明显,近1周来进食差,3 d前精神恍惚,问话不答,无肢体抽搐及尿便失禁。既往饮酒20 a,每日白酒50~100 g。入院后查体:明显消瘦,杵状指,精神恍惚,
One case of Wernicke’s encephalopathy suspected of having cerebrovascular disease is analyzed as follows. 1 medical record summary male, 52 years old. Because of the lower extremity pain 10 a, trance 3 d admission. Patients with lower extremity pain 10 days ago, both feet obvious, nearly 1 week to eat poor, 3 days before the trance, ask not answer, no limb twitching and urinary incontinence. Past drinking 20 a, daily white wine 50 ~ 100 g. After admission, physical examination: significant weight loss, clubbing, trance,