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早产儿骨质减少一例报告。

A case report of osteopenia of prematurity.

作者信息

Hosseinzadeh Vahideh, Mazrooei Rad Elias, Alirezaee Aida

机构信息

Pediatric resident, Mashhad University of Medical Sciences, Mashhad, Iran.

Biomedical Engineering Department, khavaran institute of higher education, Mashhad, Iran.

出版信息

Radiol Case Rep. 2024 Sep 25;19(12):6369-6372. doi: 10.1016/j.radcr.2024.09.030. eCollection 2024 Dec.

Abstract

The girl neonate with 1500 g, was transferred to the neonatal intensive care unit due to tachypnea and prematurity. She received supportive and therapeutic care in the course of hospitalization. Due to the high level of alkaline phosphatase in the examinations and x-rays of the wrist, premature osteopenia was diagnosed and she was treated with high doses of calcium and phosphorus. Alkaline phosphatase was measured weekly in the course of treatment, with its downward trend indicating an appropriate response to treatment. Although osteoporosis is a common and recurrent disease in premature neonate, but it can be decrease with preventing factors that lead to premature infants and by providing necessary screening and proper timely treatment with nutritional supplements and prevented the progress of the disease.

摘要

这名体重1500克的女新生儿因呼吸急促和早产被转入新生儿重症监护病房。她在住院期间接受了支持性和治疗性护理。由于腕部检查和X光片中碱性磷酸酶水平较高,诊断为早产性骨质减少,她接受了高剂量的钙和磷治疗。治疗过程中每周测量碱性磷酸酶,其下降趋势表明对治疗有适当反应。虽然骨质疏松在早产新生儿中是一种常见且复发性疾病,但通过预防导致早产的因素、提供必要的筛查以及用营养补充剂进行适当及时的治疗,可以降低其发病率并阻止疾病进展。

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