一名患有惊吓症的2个月大男婴出现严重正常血压性代谢性碱中毒。

Severe normotensive metabolic alkalosis in a 2-month-old boy with hyperekplexia.

作者信息

Schlapbach L J, Sozzo A, Ramelli G, Bianchetti M G

机构信息

Department of Pediatrics, Ospedale San Giovanni, Bellinzona.

出版信息

J Inherit Metab Dis. 2006 Feb;29(1):238-9. doi: 10.1007/s10545-006-0082-9.

DOI:10.1007/s10545-006-0082-9

PMID:16601904

Abstract

A 2-month-old infant with hereditary hyperekplexia, umbilical and bilateral inguinal hernias and history of poor feeding was noted to have severe normotensive metabolic alkalosis: sodium 132 mmol/L, potassium 3.4 mmol/L, chloride 77 mmol/L, pH 7.55, carbon dioxide tension 56.3 mmHg and bicarbonate 48.0 mmol/L. After parenteral rehydration and treatment with clonazepam, laboratory parameters normalized.

摘要

一名2个月大的婴儿患有遗传性易惊症、脐疝和双侧腹股沟疝，并有喂养困难史，被发现患有严重的正常血压性代谢性碱中毒：钠132 mmol/L，钾3.4 mmol/L，氯77 mmol/L，pH 7.55，二氧化碳分压56.3 mmHg，碳酸氢盐48.0 mmol/L。经胃肠外补液和氯硝西泮治疗后，实验室参数恢复正常。