最近审阅: 24 十月 2020
最近更新: 13 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 眼部异常(Wernick 脑病)

其他诊断因素

  • 意识错乱(Wernick 脑病)
  • 共济失调(Wernick 脑病)
  • 疲劳
  • 肌痛
  • 呼吸困难(湿性脚气病)
  • 端坐呼吸(湿性脚气病)
  • 心动过速(湿性脚气病)
  • 周围性紫绀(湿性脚气病)
  • 外周性水肿(湿性脚气病)
  • 感觉减退(干性脚气病)
  • 腱反射减弱(干性脚气病)
  • 肌无力(干性脚气病)
  • 肌肉萎缩(干性脚气病)

危险因素

  • 慢性酒精过量
  • 营养不良
  • 精制大米为主食
  • 再喂养/全胃肠外营养
  • 胃肠手术。
  • 镁缺乏症
  • 反复呕吐/慢性腹泻
  • 艾滋病 (AIDS)
  • 癌症和化疗
  • 含硫胺素酶和硫胺素拮抗剂的膳食

诊断性检查

首要检查

  • 红细胞焦磷酸硫胺素
  • 动脉血气 (ABG)
  • 乳酸
  • 甲状腺功能检测
更多 首要检查

治疗流程

撰稿人

Jennifer Logue

Reader and Honorary Consultant in Metabolic Medicine

Lancaster University Medical School

Lancaster University

Lancaster

UK

利益声明

JL led a joint working project in weight management with Astra Zeneca, MSD, and NHS Greater Glasgow and Clyde, which had unrestricted grant support from Janssen. JL received support from Novo Nordisk in Oct 2016 for attending a conference.

Mike Lean

Professor of Human Nutrition

University of Glasgow

Glasgow

Scotland

UK

利益声明

ML declares that he has no competing interests.

同行评议者展开全部内容

Emeritus Reader in Clinical Biochemistry

King's College London

Clinical Director of Pathology

The London Clinic

London

UK

利益声明

WM declares that he has no competing interests.

Chief and Associate Professor of Medicine

Division of General Internal Medicine

Associate Chairman

Department of Medicine

University of Florida College of Medicine

Jacksonville

FL

利益声明

LE declares that she has no competing interests.

Consultant Chemical Pathologist

Guy's Hospital

London

UK

利益声明

MC declares that he has no competing interests.

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