Milla P J
Acta Paediatr Scand Suppl. 1986;323:5-13. doi: 10.1111/j.1651-2227.1986.tb10345.x.
The human infant in the first six months of life is particularly vulnerable to diarrhoeal disease. Vulnerability to diarrhoeal processes is associated with the state of development of the infant gastrointestinal tract, not only of its digestive and absorptive processes but also of its unique and elaborate local defence system, consisting of both immune and non-immune elements. Protection from enteric infection, and sensitisation to food antigens is a function of the integration of gastric acid and biliary secretion, intestinal motor activity and local immune mechanisms. Development of these functions is controlled by a species specific programme in which the potential for accelerated development appears limited. Human milk provides passive protection during the initial vulnerable period. However, premature weaning may at best result in overloading of digestive and absorptive mechanisms and has the potential for the development of sensitisation to food antigens and serious diarrhoeal disease.
出生后头六个月的人类婴儿特别容易患腹泻病。易患腹泻的情况与婴儿胃肠道的发育状态有关,不仅涉及其消化和吸收过程,还涉及其独特而精细的局部防御系统,该系统由免疫和非免疫成分组成。预防肠道感染以及对食物抗原的致敏是胃酸和胆汁分泌、肠道运动活性及局部免疫机制整合的功能。这些功能的发育由一个物种特异性程序控制,在该程序中加速发育的潜力似乎有限。母乳在最初的脆弱期提供被动保护。然而,过早断奶充其量可能导致消化和吸收机制负担过重,并有发展为对食物抗原致敏和严重腹泻病的可能性。