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两例与母胎维生素D缺乏相关的新生儿骨折病例。

Two cases of fractures in neonates associated with maternofetal vitamin D deficiency.

作者信息

Albertini F, Marquant E, Reynaud R, Lacroze V

机构信息

Service de médecine néonatale, CHU de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.

Service de pédiatrie multidisciplinaire, CHU de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France.

出版信息

Arch Pediatr. 2019 Sep;26(6):361-364. doi: 10.1016/j.arcped.2019.06.004. Epub 2019 Jul 25.

Abstract

Vitamin D supplementation is essential for the entire population, especially during pregnancy and in the pediatric period. We report two case studies of full-term newborns who presented long-bone fractures associated with severe vitamin D deficiency transmitted to them by their mothers, even though maternal supplementation had been implemented according to the existing recommendations. These observations encourage the investigation of neonatal vitamin D deficiency in the presence of long-bone fractures in the absence of traumatic birth and the necessity of reenforcing the means of prevention and the selection of risk groups in order to adjust vitamin D supplementation during pregnancy individually.

摘要

补充维生素D对所有人都至关重要,尤其是在孕期和儿童期。我们报告了两例足月儿的病例研究,他们出现了长骨骨折,与母亲传递给他们的严重维生素D缺乏有关,尽管母亲已按照现有建议进行了补充。这些观察结果促使人们在无分娩创伤的情况下,对出现长骨骨折的新生儿维生素D缺乏情况进行调查,并强调有必要加强预防措施和对风险群体的筛查,以便在孕期针对个体调整维生素D补充方案。

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