作者对三名患严重乳酸性酸中毒的嗜酒者,用硫胺进行治疗,结果不到4小时,酸中毒即得到纠正。例1 30岁,入院时呼吸窘迫,有躁动但神志清,呈休克状态,血生化检查示代谢性酸中毒伴高乳酸血症和高磷血症。立即进行气管插气,用人工呼吸器,并用多巴胺8μg/min和碳酸氢钠静脉滴注治疗,经四小时仍无效。乃考虑为脚气病,停用前药,改用硫 The author of three patients with severe lactic acidosis alcoholics, with thiamine treatment, the results in less than 4 hours, acidosis that is corrected. Example 1 30 years old, admission to respiratory distress, restless but delirious, was shocked, blood biochemical tests showed metabolic acidosis with hyperlipidemia and hyperphosphatemia. Immediate tracheal insufflation, with artificial respirators, and with dopamine 8μg / min and sodium bicarbonate intravenous infusion treatment, still invalid after four hours. Is considered for beriberi, disable the prodrug, switch to sulfur