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1970~1980年,收治了记录较完整的婴儿维生素B_1缺乏症116例。诊断依据:有较明显的流行症学史,典型症状体征,血丙酮酸增高,B_1治疗有效。 116例中,男63例,女53例;最小8天,最大10个月,3个月以内者居中,共82例(70.7%)全部病例均有哭闹,轻度呕吐、腹泻者94例(81.0%),声音嘶哑49例(42.2%),凝视34例(29.3%),抽搐41例(35.3%),呼吸深快86例(74.1%),周围循环衰竭82例(70.7%),腹胀88例(75.9%),肝大97例(87.6%),呼吸心跳反复停止8例(6.9%),查血二氧化
From 1970 to 1980, 116 cases of vitamin B 1 deficiency in infants were recorded. Diagnosis is based on: there is a clear history of epidemics, the typical symptoms and signs, elevated blood pyruvate, B_1 treatment effective. In 116 cases, there were 63 males and 53 females, with a minimum of 8 days, a maximum of 10 months and a median of 3 months. A total of 82 (70.7%) patients were crying, mild vomiting and 94 (81.0%), hoarseness in 49 cases (42.2%), stare in 34 cases (29.3%), convulsions in 41 cases (35.3%), deep breathing in 86 cases (74.1%), peripheral circulation failure in 82 cases Abdominal distension in 88 cases (75.9%), 97 cases of hepatomegaly (87.6%), respiratory arrest repeatedly stopped in 8 cases (6.9%),