论文部分内容阅读
维生素B_1(VB_1)缺乏症又称脚气病,系因饮食中长期缺乏VB_1(即硫胺素)所致。自解放后本病在我国已很少见.现将我科收治的一例报告如下。患儿男,4岁,于入院前10天开始无诱因出现双下肢浮肿,三天前延至外阴部、下腹及颜面,无少尿及血尿,无心悸。曾3次验尿常规均正常。平素吃零食多,正餐量少且为精细米面。查体:精神好,体重17km,身高94cm,颜面、下腹壁、耻骨联合及双下肢指凹性水肿,心肺腹无异常,神经系统正常。查尿常规2次,除首次酮体(+)外,余均正常。BUN及肝功能正常。血浆总蛋白42.3g/L,白蛋白28.3g/L,球蛋白14g/L。心脏平片及心电图正常;肝胆及双肾B超正常。临床诊断为VB_1缺乏症(湿型脚气病),给予VB_120mg3次/d及酵母片口服,3天后
Vitamin B_1 (VB_1) deficiency, also known as beriberi, is due to lack of long-term diet VB_1 (thiamine). Since the liberation of the disease has been very rare in our country now receive a report of our department is as follows. Male, 4 years old, had unexplained edema of the lower extremities 10 days before admission, and extended to the genital area, lower abdomen and face three days ago without oliguria and hematuria without palpitation. Have 3 urine tests were normal. Usually eat more snacks, less meals and for the fine rice noodles. Physical examination: good spirit, weight 17km, height 94cm, face, lower abdomen, pubic symphysis and both lower extremity concave edema, no abnormal heart and lung abdomen, normal nervous system. Urine routine examination 2 times, except for the first ketone body (+), I were normal. BUN and liver function is normal. Plasma total protein 42.3g / L, albumin 28.3g / L, globulin 14g / L. Plain heart and normal ECG; liver and gallbladder B-normal. Clinical diagnosis of VB_1 deficiency (wet beriberi), given VB_120mg3 times / d and yeast tablets orally, 3 days later