Paramasivam Priyaja, Earan Sujay Kumar, Arunagirinadhan Arulkumaran, Kantamneni Shilpa
Postgraduate Student, Department of Paediatrics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Assistant Professor, Department of Paediatrics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
J Clin Diagn Res. 2017 Jul;11(7):SD10-SD12. doi: 10.7860/JCDR/2017/25312.10298. Epub 2017 Jul 1.
Hypernatraemic dehydration in neonates may lead to potentially lethal consequences like cerebral oedema, intracranial haemorrhage, hydrocephalus and gangrene. In the light of increase in the infants presenting with hypernatraemic dehydration, there is a definitive need to heighten the awareness and have a high degree of suspicion in diagnosis for this potentially lethal condition. We report two neonates of severe hypernatraemia with dehydration highlighting its diagnosis and management. Treatment of hypernatraemic dehydration involves correction of electrolyte imbalance by careful restoration of fluids and ensuring appropriate intake of calories. Promoting, protecting and supporting breastfeeding by careful breastfeeding assessment and including an early post partum follow up in the hospital protocol to detect any unusual weight loss in the newborn period plays a significant role in preventing this condition.
新生儿高钠血症性脱水可能会导致诸如脑水肿、颅内出血、脑积水和坏疽等潜在致命后果。鉴于出现高钠血症性脱水的婴儿数量增加，对于这种潜在致命疾病，确实需要提高认识并在诊断时保持高度怀疑。我们报告了两例严重高钠血症合并脱水的新生儿，突出其诊断和管理。高钠血症性脱水的治疗包括通过谨慎补充液体来纠正电解质失衡，并确保适当摄入热量。通过仔细的母乳喂养评估来促进、保护和支持母乳喂养，并在医院诊疗方案中纳入产后早期随访，以检测新生儿期任何异常体重减轻，这在预防这种疾病方面发挥着重要作用。
