Fujita I, Sata T, Gondo K, Fukazawa M, Kukita J, Zaitsu A, Yoshitake J, Ueda K
Department of Pediatrics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Acta Paediatr Jpn. 1992 Aug;34(4):466-8. doi: 10.1111/j.1442-200x.1992.tb00988.x.
A 21 month old female had voluntarily ingested 0.5-1.51 of isotonic sports drink daily from 10 months of age. She developed hyponatremia and beriberi heart disease, which resulted in metabolic acidosis and cardiogenic shock (shoshin beriberi). Mechanical ventilation was applied for pulmonary edema. Right heart failure was improved after administering vitamin B1. However, 5 days after the shock, hypoxemia and diffuse radiographic infiltrates progressed, and a diagnosis of adult respiratory distress syndrome (ARDS) was made. After the occurrence of an air leak, the patient died of respiratory failure. The cardiogenic shock and pulmonary edema due to cardiac beriberi may have triggered the ARDS.
一名21个月大的女性自10个月大起每天自愿摄入0.5 - 1.5升等渗运动饮料。她出现了低钠血症和脚气性心脏病，进而导致代谢性酸中毒和心源性休克（干性脚气病）。因肺水肿进行了机械通气。给予维生素B1后右心衰竭有所改善。然而，休克发生5天后，低氧血症和弥漫性影像学浸润进展，诊断为成人呼吸窘迫综合征（ARDS）。出现空气泄漏后，患者死于呼吸衰竭。心脏性脚气病导致的心源性休克和肺水肿可能引发了ARDS。
