Hansen Esben P K, Metzsche Carsten, Henningsen Emil, Toft Palle
Department Anaesthesiology and Intensive Care, Odense University Hospital, 5000 Odense C, Denmark.
J Clin Med Res. 2012 Apr;4(2):135-7. doi: 10.4021/jocmr726w. Epub 2012 Mar 23.
After bariatric gastric bypass surgery patients are at risk of developing micronutrient deficiencies. If gastric bypass surgery is followed by a vitamin deficient diet the patients have a risk of developing vitamin-C deficiency. When spontaneous ecchymosis is observed in the skin, in at-risk patients, scurvy must be considered. When treated with large doses of vitamin-C the symptoms of scurvy rapidly improve even if the patient has developed multiple organ dysfunction syndrome.
Scurvy; Gastric bypass surgery; Multiorgan dysfunction.
减肥胃旁路手术后患者有发生微量营养素缺乏的风险。如果胃旁路手术后饮食中缺乏维生素,患者有发生维生素C缺乏的风险。在有风险的患者中,当观察到皮肤出现自发性瘀斑时,必须考虑坏血病。即使患者已发展为多器官功能障碍综合征,用大剂量维生素C治疗时,坏血病症状也会迅速改善。
坏血病;胃旁路手术;多器官功能障碍