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浓缩乳喂养及其与婴儿高钠血症性脱水的关系。

Concentrated milk feeds and their relation to hypernatraemic dehydration in infants.

作者信息

Chambers T L, Steel A E

出版信息

Arch Dis Child. 1975 Aug;50(8):610-5. doi: 10.1136/adc.50.8.610.

DOI:10.1136/adc.50.8.610
PMID:1242879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1545494/
Abstract

The composition of milks usually fed to 25 infants admitted to hospital with a dehydrating illness was studied. 15 hypernatraemic babies had been given feeds of greater sodium concentration and osmolality than those fed to the 10 infants whose plasma sodium was below 150 mEq/l. Hypernatraemic dehydration may be followed by death or permanent brain damage. Most infants in the survey were receiving milk with a sodium content greater than that advised by the manufacturers. Suggestions are made for reducing the sources of error commonly made in the reconstitution of dried milk formulae.

摘要

对25名因脱水疾病入院的婴儿通常所喂食的牛奶成分进行了研究。15名高钠血症婴儿所摄入奶液的钠浓度和渗透压高于血浆钠浓度低于150 mEq/L的10名婴儿所喂食的奶液。高钠血症性脱水可能会导致死亡或永久性脑损伤。调查中的大多数婴儿所摄入牛奶的钠含量高于制造商的建议值。针对减少奶粉配方冲调过程中常见的误差来源提出了建议。

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本文引用的文献

1
Hypernatremia in infants; an evaluation of the clinical and biochemical findings accompanying this state.婴儿高钠血症;对伴随该状态的临床及生化检查结果的评估
Pediatrics. 1955 Jul;16(1):1-14.
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Role of the kidney in water metabolism in young infants: physiologic and clinical considerations.
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Hypertonic dehydration (hypernatremia): the role of feedings high in solutes.高渗性脱水(高钠血症):高溶质喂养的作用。
Pediatrics. 1958 Jul;22(1, Part 1):5-12.
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The possible role of the physician in causing hypernatremia in infants dehydrated from diarrhea.
Pediatrics. 1958 Jul;22(1, Part 1):2-4.
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Arch Dis Child. 1967 Oct;42(225):485-91. doi: 10.1136/adc.42.225.485.
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Fluid intake, renal solute load, and water balance in infancy.
J Pediatr. 1971 Apr;78(4):561-8. doi: 10.1016/s0022-3476(71)80456-0.
7
High calorie-osmolar feeding and hypertonic dehydration.高热量渗透压喂养与高渗性脱水。
Arch Dis Child. 1972 Apr;47(252):257-60. doi: 10.1136/adc.47.252.257.
8
Hyperosmolar dehydration in infancy due to faulty feeding.
Arch Dis Child. 1972 Jun;47(253):468-9. doi: 10.1136/adc.47.253.468.
9
Letter: Hyperglycaemia and uraemia in hyperosmolar dehydration.信件:高渗性脱水伴高血糖症和尿毒症
Arch Dis Child. 1974 Jun;49(6):500-1. doi: 10.1136/adc.49.6.500.
10
Infant-feeding practices.婴儿喂养方式。
Br Med J. 1973 Jun 30;2(5869):762-4. doi: 10.1136/bmj.2.5869.762.