模仿危重病性多发性神经病的“干性”和“湿性”脚气病
"Dry" and "wet" beriberi mimicking critical illness polyneuropathy.
作者信息
Prakasha S Rama, Mustafa A Sharik, Baikunje Shashidhar, Subramanyam K
机构信息
Department of General Medicine, K. S. Hegde Medical Academy, Deralakatte, Mangalore, Karnataka, India.
出版信息
Ann Indian Acad Neurol. 2013 Oct;16(4):687-9. doi: 10.4103/0972-2327.120467.
Abstract
Three cases with manifestations of right heart failure, shock, metabolic acidosis, and renal failure in varying combination were admitted with paraparesis. Nerve conduction study suggested predominantly motor and mainly axonal type of neuropathy. Rapid reversal of shock, acidosis, and multi-organ dysfunction with timely infusion of thiamine was followed by the complete neurological recovery.
摘要
三例患者因不同程度合并右心衰竭、休克、代谢性酸中毒和肾衰竭而出现双下肢轻瘫入院。神经传导研究提示主要为运动性且以轴索性为主的神经病变。及时输注硫胺素后，休克、酸中毒和多器官功能障碍迅速逆转，随后神经功能完全恢复。
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