Pullan C R, Dellagrammatikas H, Steiner H
Br Med J. 1977 Mar 5;1(6061):619-21. doi: 10.1136/bmj.1.6061.619.
In a survey of 674 children admitted to the main gastroenteritis unit in Newcastle upon Tyne from 1971 to 1975 there was a noticeable reduction in the incidence of severe dehydration and hypernatraemia, though there was no appreciable change in many characteristics of the patients. This period coincided locally (and nationally) with a determined effort on the part of health visitors and doctors to encourage mothers to breast-feed and to advise them to avoid giving concentrated milk feeds and ensure an adequate water intake during febrile illnesses. This may have contributed towards a reduction in the severity of the illness in children with gastroenteritis admitted to hospital. The overall mortality and the incidence of neurological complications in cases of hypernatraemia are low compared with previous reports.
在一项针对1971年至1975年期间入住泰恩河畔纽卡斯尔主要肠胃炎病房的674名儿童的调查中,严重脱水和高钠血症的发病率显著降低,尽管患者的许多特征没有明显变化。这一时期在当地(以及全国范围内)恰逢健康访视员和医生下定决心鼓励母亲进行母乳喂养,并建议她们避免给予浓缩奶喂养,并确保在发热疾病期间摄入足够的水分。这可能有助于降低入院的肠胃炎患儿的病情严重程度。与之前的报告相比,高钠血症病例的总体死亡率和神经并发症的发生率较低。