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외과계 중환자실 환자에서 티아민 결핍에 의해 발생한 습성 각기병과 베르니케 뇌병증

Other Titles
 Experiences of Wet Beriberi and Wernicke’s Encephalopathy Caused by Thiamine Deficiency in Critically Ill Patients 
Authors
 장지영 ; 심홍진 ; 이재길 
Citation
 Korean Journal of Critical Care Medicine (대한중환자의학회지), Vol.28(2) : 156~159, 2013 
Journal Title
 Korean Journal of Critical Care Medicine  (대한중환자의학회지) 
ISSN
 1229-4802 
Issue Date
2013
Abstract
Wet beriberi and Wernicke's encephalopathy (WE) are caused by thiamine deficiency and are potentially lethal and serious diseases. Thiamine deficiency occurs mainly due to poor oral intake or inadequate provision of thiamine in enteral or parenteral nutrition therapy. We report cases of wet beriberi and WE that developed after surgery in a surgical intensive care unit. The first patient, who was diagnosed with wet beriberi, underwent right total mastectomy and radical subtotal gastrectomy, simultaneously. The second was diagnosed with irreversible WE, respectively, due to long-term malnutrition. In both cases, intravenous replacement of thiamine was initiated after the admission to the surgical intensive care unit. However, comatose mentality of the second patient did not improve. As a result, we conclude that, if a patient's clinical feature is suspected to be thiamine deficiency, prompt intravenous thiamine replacement is needed.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87009
DOI
10.4266/kjccm.2013.28.2.156
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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