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[一名30日龄婴儿的意外酒精中毒。临床发现及神经学随访]

[Accidental ethyl alcohol intoxication in a 30-day-old infant. Clinical findings and neurological follow-up].

作者信息

Palano G M, Praticò A D, Praticò E R, D'Agata A, Carpinato C, Sottile F, Distefano G

机构信息

U.O. di Patologia Neonatale, Dipartimento di Pediatria, Azienda Policlinico, Università di Catania, Catania.

出版信息

Minerva Pediatr. 2007 Jun;59(3):275-9.

Abstract

Fetus damages due to alcohol abuse in pregnancy, fetal alcohol syndrome (FAS), are widely documented in the literature, whereas short and long term clinical signs of acute alcohol intoxication in newborn babies are poorly described. In our study we describe the case of a 30-day-old newborn baby erroneously fed with 70 mL of white wine in place of the water for milk dilution. The baby clinical features were torpor, tremors, slight fever without metabolic anomalies typical of classic acute alcohol intoxication such as hypoglycemia, hypothermia, metabolic acidosis and coma. Periodical follow-up a 2, 3, 6 and 12 months were performed in order to evaluate neuromotor development using Bayley Scales of Infant Development II, for children between 1 and 42 months old. The results showed normal psychomotor development in our patient.

摘要

孕期酒精滥用导致的胎儿损伤,即胎儿酒精综合征(FAS),在文献中有广泛记载,而新生儿急性酒精中毒的短期和长期临床体征描述较少。在我们的研究中,我们描述了一个30天大的新生儿的病例,该婴儿被错误地喂了70毫升白葡萄酒来代替用于稀释牛奶的水。婴儿的临床特征为嗜睡、震颤、低热,没有典型急性酒精中毒的代谢异常,如低血糖、体温过低、代谢性酸中毒和昏迷。为了使用贝利婴儿发展量表第二版评估1至42个月大儿童的神经运动发育,在2、3、6和12个月时进行了定期随访。结果显示我们的患者精神运动发育正常。

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