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新冠疫情时代一名体重指数正常的年轻男子在饥饿后出现的再喂养综合征和维生素B1缺乏症

Refeeding syndrome and vitamin B1 deficiency in a young man with normal body mass index following starvation in the COVID-19 era.

作者信息

Tsuji Naoaki, Okumura Hisatoshi, Inaba Satoshi, Kaneko Akihito, Kawashima Atsushi

机构信息

Department of Respiratory Medicine Otsu City Hospital Shiga Japan.

Department of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto Japan.

出版信息

J Gen Fam Med. 2024 Oct 21;26(1):92-94. doi: 10.1002/jgf2.729. eCollection 2025 Jan.

Abstract

COVID-19 has spread worldwide and significantly influenced economies. Refeeding syndrome (RFS) is a potentially fatal abnormalities of electrolytes and fluid that can occur in malnourished patients undergoing mechanical refeeding. Herein, we report the case of a man in his 20s with a normal body mass index who presented with RFS and vitamin B1 deficiency. Although it was uncommon under normal circumstances, it occurred because of the severe social situations that were prevalent in the COVID-19 era. In this era, physicians should carefully evaluate their patients' nutritional status to identify those at risk for RFS, even in young individuals.

摘要

新型冠状病毒肺炎(COVID-19)已在全球范围内传播,并对经济产生了重大影响。再喂养综合征(RFS)是一种可能致命的电解质和液体异常情况,可发生在接受机械再喂养的营养不良患者中。在此,我们报告一例20多岁、体重指数正常的男性患者,他出现了再喂养综合征和维生素B1缺乏症。虽然在正常情况下这种情况并不常见,但它是由于COVID-19时代普遍存在的严峻社会状况而发生的。在这个时代,医生应仔细评估患者的营养状况,以识别有再喂养综合征风险的患者,即使是年轻个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0128/11702453/6aca7b6c4d7e/JGF2-26-92-g001.jpg

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