Severe Matabolic Acidosis due to Thiamine Deficiency during Intravenous Hyperalimentation : A Case Report and Review of the Literature

التفاصيل البيبلوغرافية
العنوان: Severe Matabolic Acidosis due to Thiamine Deficiency during Intravenous Hyperalimentation : A Case Report and Review of the Literature
المؤلفون: Nakamura, Masayuki, Mizuta, Eishi, Morioka, Hideshi, Nakamura, Mitsuo
بيانات النشر: Yamaguchi University Graduate School of Medicine
سنة النشر: 1999
المجموعة: YUNOCA - Yamaguchi University Navigator for Open access Collection and Archives / 山口大学学術機関リポジトリ
مصطلحات موضوعية: Severe metabolic acidosis, Thiamine deficiency, Intravenous hyperalimentation, 医学
الوصف: An 86-year-old woman, who underwent biliary stenting for bile duct cancer 3 months before, had liver metastasis and was readmitted to our department because of anorexia. Intravenous hyperlimentation (IVH) was administered without vitamin supplementation. Nineteen days after the start of IVH, drowsiness, tachypnea and hypotension with severe metabolic acidosis suddenly manifested. The discontinuation of IVH and the administration of sodium bicarbonate and thiamine corrected the acidosis. Seven days later, IVH with the same contents as the previous one was readministered with daily thiamine supplementation, but no episode similar to the previous one occurred. We daily thiamine supplementation, but no episode similar to the previous one occurred. We believe that severe metabolic acidosis in this patient was due to thiamine deficiency.
نوع الوثيقة: report
اللغة: unknown
الإتاحة: http://petit.lib.yamaguchi-u.ac.jp/507Test
http://petit.lib.yamaguchi-u.ac.jp/507/files/145291Test
رقم الانضمام: edsbas.D991E4B7
قاعدة البيانات: BASE