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脚气病所致心肌病需挽救性静脉动脉体外膜肺氧合治疗

Beriberi Induced Cardiomyopathy Requiring Salvage Venoarterial Extracorporeal Membrane Oxygenation.

作者信息

Shah Aditya, Patel Samir, Kothari Sorabh, Denk Jennifer

机构信息

University of Illinois at Chicago, Chicago, IL, USA; Advocate Christ Medical Center, Oak Lawn, IL, USA.

Advocate Christ Medical Center, Oak Lawn, IL, USA.

出版信息

Case Rep Crit Care. 2016;2016:5043818. doi: 10.1155/2016/5043818. Epub 2016 Dec 5.

DOI:10.1155/2016/5043818
PMID:28050289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5165147/
Abstract

Beriberi refers to a constellation of symptoms caused primarily by thiamine (vitamin B1) deficiency. An acute and fulminant presentation of this rare condition has been described in the literature as "Shoshin" beriberi which is characterized by catastrophic cardiovascular collapse. Early recognition and treatment lead to dramatic improvements of symptoms. We present a case of thiamine deficiency-induced acute heart failure in a malnourished patient leading to cardiac arrest necessitating VA-ECMO (venoarterial extracorporeal membrane oxygenation) with improvement in heart function secondary to thiamine administration.

摘要

脚气病指主要由硫胺素（维生素B1）缺乏引起的一系列症状。文献中已将这种罕见病症的急性暴发性表现描述为“干性”脚气病，其特征为灾难性的心血管衰竭。早期识别和治疗可使症状显著改善。我们报告一例营养不良患者因硫胺素缺乏引起急性心力衰竭导致心脏骤停，需进行静脉-动脉体外膜肺氧合（VA-ECMO），补充硫胺素后心脏功能得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/a99eb0dde2ab/CRICC2016-5043818.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/b43e8c6a5179/CRICC2016-5043818.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/10fe53eae093/CRICC2016-5043818.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/799fddba8aaf/CRICC2016-5043818.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/a3d5260101c2/CRICC2016-5043818.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/63b122cb27f9/CRICC2016-5043818.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/14b4e4ab3668/CRICC2016-5043818.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/a99eb0dde2ab/CRICC2016-5043818.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/b43e8c6a5179/CRICC2016-5043818.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/10fe53eae093/CRICC2016-5043818.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/799fddba8aaf/CRICC2016-5043818.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/a3d5260101c2/CRICC2016-5043818.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/63b122cb27f9/CRICC2016-5043818.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/14b4e4ab3668/CRICC2016-5043818.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d080/5165147/a99eb0dde2ab/CRICC2016-5043818.007.jpg

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Shoshin Beriberi in Critically-Ill patients: case series.危重症患者的急性暴发性脚气病：病例系列
Nutr J. 2015 May 17;14:51. doi: 10.1186/s12937-015-0039-7.
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Elevated Lactate Secondary to Gastrointestinal Beriberi.继发于胃肠道脚气病的乳酸升高
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A case of cardiac beriberi: a forgotten but memorable disease.一例脚气性心脏病：一种被遗忘但令人难忘的疾病。
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