Eigenmann P, Délèze G, Kuchler H
Department of Paediatrics, Regional Hospital, Sion, Switzerland.
Eur J Pediatr. 1991 Jul;150(9):669-70. doi: 10.1007/BF02072631.
A 6-month-old infant suffering from cystic fibrosis is reported. In spite of an apparently appropriate treatment and in absence of respiratory infection, the patient showed progressive anorexia, intermittent vomiting and weight loss. These non-specific signs and symptoms could all be explained by metabolic alkalosis and disappeared immediately after oral supplementation with sodium and potassium chloride. This unusual metabolic complication should be searched for in every cystic fibrosis infant with unexplained anorexia and failure to thrive.
报告了一名患有囊性纤维化的6个月大婴儿。尽管进行了看似适当的治疗且无呼吸道感染,但该患者仍出现进行性厌食、间歇性呕吐和体重减轻。这些非特异性体征和症状都可以用代谢性碱中毒来解释,口服补充氯化钠和氯化钾后症状立即消失。对于每一名患有不明原因厌食和发育不良的囊性纤维化婴儿,都应排查这种不寻常的代谢并发症。