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以往认为微量元素硒对人类的营养并不重要,但过去的10年里中国的科学工作者发现硒缺乏是克山病的主要致病因素之一。本文报告美国麻省总医院心脏病科处理的一个硒缺乏伴发扩张性心肌病的病例。患者男性,43岁,西方人,在开始采用胃肠外营养法前四年,曾因小肠广泛性憩室病等接受过一系列的外科手术。后来因腹泻及肠吸收障碍逐渐加重而接受胃肠外营养法。患者每日通过留置在皮下的静脉插管注入FreAmine 11(氨基酸混合物,磷酸及亚硫酸氢钠
In the past that the trace element selenium on human nutrition is not important, but in the past 10 years, Chinese scientists found that selenium deficiency is one of the main pathogens Keshan disease. This article reports a case of selenium deficiency associated with dilated cardiomyopathy treated by the Department of Cardiology, Massachusetts General Hospital. Male, 43, of Westerners, received a series of surgeries during the first four years of parenteral nutrition because of extensive diverticular disease in the small intestine. Later, due to diarrhea and intestinal disorders gradually increased acceptance of parenteral nutrition. Patients were injected daily with FreAmine 11 (amino acid mixture, phosphoric acid and sodium bisulfite