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首页> 外文期刊>Nutrition Journal >Shoshin Beriberi in Critically-Ill patients: case series
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Shoshin Beriberi in Critically-Ill patients: case series

机译:重症患者的Shoshin Beriberi:病例系列

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摘要

Thiamine plays a fundamental role in cellular metabolism. The classical syndrome caused by thiamine deficiency is beriberi, and its fulminant variant, once considered an uncommon finding, is now encountered among the critically ill. We present a case series of four critically ill non-septic non-alcoholic patients with severe lactic acidosis and refractory cardio-circulatory collapse caused by acute fulminant beriberi, which drastically responded to thiamine administration. In critical care settings, increased awareness of this life-threatening but reversible condition is a requirement, especially among patients receiving parenteral nutrition and those with unexplained recalcitrant lactic acidosis.
机译:硫胺素在细胞代谢中起基本作用。由硫胺素缺乏引起的典型综合征是脚气病,其暴发性变种曾经被认为是罕见的发现,如今在重症患者中遇到。我们介绍了一系列病例,其中四例由急性暴发性脚气病引起的严重乳酸性酸中毒和难治性心脏循环衰竭的重症非脓毒症非酒精性患者,对硫胺素的治疗反应剧烈。在重症监护环境中,必须提高对这种威胁生命但可逆的疾病的认识,尤其是在接受肠胃外营养的患者以及患有无法解释的顽固性乳酸性酸中毒的患者中。

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