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フルテキストURLA020046000312.pdf ( 619.7KB ) 公開日 2010-04-19
タイトルSevere Matabolic Acidosis due to Thiamine Deficiency during Intravenous Hyperalimentation : A Case Report and Review of the Literature
作成者Nakamura, Masayuki
Mizuta, Eishi
Morioka, Hideshi
Nakamura, Mitsuo
作成者ヨミナカムラ, マサユキ
ミズタ, エイシ
モリオカ, ヒデシ
ナカムラ, ミツオ
作成者所属山口大学医学部
内容記述(抄録等)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.
本文言語eng
著者キーワードSevere metabolic acidosis
Thiamine deficiency
Intravenous hyperalimentation
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
46
3-4
開始ページ127
終了ページ133
発行日1999-12
著者版/出版社版出版社版
リポジトリIDA020046000312
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020046000312