Pumberger W, Pomberger G, Geissler W
Division of Paediatric Surgery, University of Vienna, Austria.
Postgrad Med J. 2001 Apr;77(906):252-4. doi: 10.1136/pmj.77.906.252.
Dietary protein induced proctocolitis in exclusively breast fed infants is rarely taken into consideration as a cause of rectal bleeding or blood streaked stool in the neonatal period and early infancy. Eleven babies are presented in whom it is believed that bleeding through the rectum was due to proctocolitis as a result of allergy triggered by cows' milk protein transferred to the infants via the breast milk. Colonoscopy was performed in five infants, revealing benign eosinophilic proctocolitis. Standard treatment was the exclusion of the allergen from the mother's diet. Resolution of visible rectal bleeding took place within 72 to 96 hours after elimination of the offending protein from the mother's diet.
在纯母乳喂养的婴儿中，因膳食蛋白质引发的直肠结肠炎，在新生儿期和婴儿早期很少被视为直肠出血或便血的原因。本文报告了11例婴儿，据信其直肠出血是由于通过母乳传递给婴儿的牛奶蛋白引发过敏，导致直肠结肠炎。对5例婴儿进行了结肠镜检查，结果显示为良性嗜酸性直肠结肠炎。标准治疗方法是从母亲饮食中排除过敏原。在从母亲饮食中去除有害蛋白质后的72至96小时内，可见的直肠出血症状得到缓解。
