孟加拉国急性腹泻儿童低钠血症和高钠血症的后果
Consequences of hyponatraemia and hypernatraemia in children with acute diarrhoea in Bangladesh.
作者信息
Samadi A R, Wahed M A, Islam M R, Ahmed S M
出版信息
Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):671-3. doi: 10.1136/bmj.286.6366.671.
Abstract
A total of 1330 children under 3 years of age who during 1979 had been admitted to the general ward of ICDDR,B Health Complex for diarrhoea with complications were studied retrospectively for the relation between types of dehydration, age, and nutritional state. Of the 1330 children, 276 (20.8%) were hyponatraemic, 969 (72.8%) isonatraemic, and 85 (6.4%) hypernatraemic. The incidence of hyponatraemia increased with age, while the incidence of hypernatraemia decreased with age. There was a strong relation between types of dehydration and nutritional state. The incidence of hyponatraemia was directly related to the degree of malnutrition. The case fatality rates for types of dehydration were 10.1% in hyponatraemia, 3.8% in isonatraemia, and 1.2% in hypernatraemia. These observations suggest that hyponatraemia is a serious complication of diarrhoea in Bangladesh.
摘要
对1979年期间因腹泻并伴有并发症而入住国际腹泻病研究中心孟加拉国健康中心普通病房的1330名3岁以下儿童进行了回顾性研究，以探讨脱水类型、年龄和营养状况之间的关系。在这1330名儿童中，276名（20.8%）为低钠血症，969名（72.8%）为等钠血症，85名（6.4%）为高钠血症。低钠血症的发生率随年龄增长而增加，而高钠血症的发生率随年龄增长而降低。脱水类型与营养状况之间存在密切关系。低钠血症的发生率与营养不良程度直接相关。低钠血症、等钠血症和高钠血症的脱水类型病死率分别为10.1%、3.8%和1.2%。这些观察结果表明，低钠血症是孟加拉国腹泻的一种严重并发症。
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