van der Heide P A, Toet M C, van Diemen-Steenvoorde J A, Renardel de Lavalette P A, de Jonge G A
St. Antonius Ziekenhuis, afd. Kindergeneeskunde, Nieuwegein.
Ned Tijdschr Geneeskd. 1998 May 2;142(18):993-5.
Two firstborn, breast-fed infants (delivery at home) were admitted to the hospital in a critical state of hypernatraemic dehydration. Case 1, a boy aged 13 days, had suffered 1220 g loss of weight since birth (31%), his serum sodium concentration was 180 mmol/l. Case 2, a girl aged 7 days, had lost 610 g since birth (18%); her serum sodium level was 159 mmol/l. In both cases poor professional support of lactation and lack of weight control had resulted in unnoticed severe malnutrition. After slow rehydration recovery was uneventful. Closer monitoring of babies' weight, e.g. twice a week, is advocated especially for breast-fed firstborns in the early weeks of life.
两名足月顺产、母乳喂养的婴儿（均在家中分娩）因高钠血症性脱水处于危急状态被收治入院。病例1为一名13日龄男婴，自出生后体重减轻1220克（31%），血清钠浓度为180毫摩尔/升。病例2为一名7日龄女婴，自出生后体重减轻610克（18%），血清钠水平为159毫摩尔/升。在这两个病例中，母乳喂养缺乏专业指导以及未进行体重监测导致严重营养不良未被察觉。经过缓慢补液后，恢复过程顺利。建议对婴儿体重进行更密切监测，例如每周两次，尤其是对于出生后早期的母乳喂养的头胎婴儿。
