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尿毒症作为急性婴儿高钠血症惊厥的一个决定因素。

Uraemia as a determinant of convulsions in acute infantile hypernatraemia.

作者信息

Stephenson J B

出版信息

Arch Dis Child. 1971 Oct;46(249):676-9. doi: 10.1136/adc.46.249.676.

Abstract

In a group of 57 infants with acute illness and hypernatraemia (sodium 150 mEq/l. or over), convulsions occurred early in therapy in 17. Other common causes of convulsions had been eliminated as far as possible. The incidence of convulsions was related to the degree of uraemia and acidaemia present on admission and not related to the sodium concentration. It is concluded that hypernatraemia, within the range studied, is not an important cause of infantile seizures unless other factors are operating. Elucidation of these other factors may be more profitable than study of the osmotic properties of the body fluids.

摘要

在一组57名患有急性疾病和高钠血症(血钠150毫当量/升及以上)的婴儿中,17名在治疗早期出现惊厥。已尽可能排除了其他常见的惊厥原因。惊厥的发生率与入院时存在的尿毒症和酸血症程度有关,而与钠浓度无关。得出的结论是,在所研究的范围内,高钠血症不是婴儿惊厥的重要原因,除非有其他因素起作用。阐明这些其他因素可能比研究体液的渗透特性更有意义。

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本文引用的文献

1
Hypernatraemic dehydration in infantile gastro-enteritis.婴儿肠胃炎中的高钠血症性脱水
Arch Dis Child. 1961 Oct;36(189):543-50. doi: 10.1136/adc.36.189.543.
3
HAEMODIALYSIS DISEQUILIBRIUM.血液透析失衡
Br Med J. 1964 Sep 12;2(5410):672-5. doi: 10.1136/bmj.2.5410.672.
5
Hypernatremic dehydration.
Pediatr Clin North Am. 1959 Feb;6(1):193-9. doi: 10.1016/s0031-3955(16)30768-4.
7
Uraemia in congestive heart failure.
Q J Med. 1969 Jan;38(149):117-33.

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