https://scholars.lib.ntu.edu.tw/handle/123456789/631142
標題: | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis | 作者: | Hung, Yi-Hsin Yu, An-Li CHUN-KAI CHEN MIN-TSUN LIAO MU-YANG HSIEH WEN-JONE CHEN |
關鍵字: | High-output heart failure; Lactic acidosis; Pulmonary artery catheter; Shoshin beriberi; Wet beriberi | 公開日期: | 12-四月-2023 | 出版社: | WILEY PERIODICALS, INC | 來源出版物: | ESC heart failure | 摘要: | Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state and plays a crucial role in rapidly deteriorating cases. Appropriate treatment with intravenous administration of thiamine leads to dramatic recovery within hours. We present two cases of Shoshin beriberi, a fulminant variant of wet beriberi, diagnosed in 2016 and 2022 at our institute. The patients experienced haemodynamic collapse and refractory lactic acidosis, which were successfully diagnosed with the use of a pulmonary artery catheter and reversed by thiamine supplementation. We also reviewed 19 cases of wet beriberi reported between 2010 and 2022. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/631142 | ISSN: | 2055-5822 | DOI: | 10.1002/ehf2.14374 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。