medicina61巻10号

2024年09月発行

特集 内科医が知っておくべきICU・ERでの薬の使い方 栄養

ビタミン剤（B₁，C）

著者： 坂本壮¹

所属機関： ¹総合病院国保旭中央病院救急救命科

ページ範囲：P.1712 - P.1715

Point
◎患者背景，症状から疑い対応しよう！
◎高齢者，特にフレイル＋利尿薬内服患者ではビタミンB₁欠乏を常に意識しよう！
◎ビタミン欠乏は重複しうることを意識しよう！

参考文献

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2）Lowe SA, et al：SOMANZ position paper on the management of nausea and vomiting in pregnancy and hyperemesis gravidarum. Aust N Z J Obstet Gynaecol 60：34-43, 2020 PMID 31657004

3）Committee on Practice Bulletins-Obstetrics：ACOG Practice Bulletin No. 189；Nausea and vomiting of pregnancy. Obstet Gynecol 131：e15-e30, 2018 PMID 29266076

4）Tjong E, et al：Gastrointestinal beriberi and Wernicke's encephalopathy triggered by one session of heavy drinking. Case Rep Neurol 11：124-131, 2019 PMID 31543793

5）Prakash S：Gastrointestinal beriberi；A forme fruste of Wernicke's encephalopathy? BMJ Case Rep 2018：bcr2018224841, 2018 PMID 29982183

6）Ao M, et al：Possible involvement of thiamine insufficiency in heart failure in the institutionalized elderly. J Clin Biochem Nutr 64：239-242, 2019 PMID 31138958

7）Jain A, et al：Determining the role of thiamine deficiency in systolic heart failure；A meta-analysis and systematic review. J Card Fail 21：1000-1007, 2015 PMID 26497757

8）Wardi G, et al：Demystifying lactate in the emergency department. Ann Emerg Med 75：287-298, 2020 PMID 31474479

9）Habas E, et al：Wernicke encephalopathy；An updated narrative review. Saudi J Med Med Sci 11：193-200, 2023 PMID 37533659

10）坂本　壮：ビタミンB1は救急外来でいつ，誰に，どれだけ投与するのか？　坂本　壮，田中竜馬（編）：救急外来，ここだけの話．pp 221-226，医学書院，2021

11）Marik PE, et al：Hydrocortisone, vitamin c, and thiamine for the treatment of severe sepsis and septic shock；A retrospective before-after study. Chest 151：1229-1238, 2017 PMID 27940189

12）Léger D：Scurvy；Reemergence of nutritional deficiencies. Can Fam Physician 54：1403-1406, 2008 PMID 18854467