Massa G, Proesmans W, Devlieger H, Vandenberghe K, Van Assche A, Eggermont E
Eur J Obstet Gynecol Reprod Biol. 1987 Apr;24(4):335-40. doi: 10.1016/0028-2243(87)90159-6.
In three patients with neonatal Bartter syndrome associated with polyhydramnios, analysis of the amniotic fluid showed normal sodium, normal-to-low potassium, but high chloride concentrations. This finding clearly suggests a renal chloride reabsorption defect as the primary cause of the neonatal form of Bartter syndrome. It is suggested that whenever polyhydramnios occurs, the electrolyte composition of the amniotic fluid should first be analysed in order to establish the diagnosis of Bartter syndrome.
在3例伴有羊水过多的新生儿巴特综合征患者中,羊水分析显示钠正常、钾正常至偏低,但氯化物浓度高。这一发现明确提示肾性氯化物重吸收缺陷是新生儿型巴特综合征的主要病因。建议每当出现羊水过多时,应首先分析羊水的电解质成分,以确立巴特综合征的诊断。