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首页> 外文期刊>Annals of Tropical Paediatrics >Hypernatraemic dehydration in Jamaican breastfed neonates: a 12-year review in a baby-friendly hospital.
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Hypernatraemic dehydration in Jamaican breastfed neonates: a 12-year review in a baby-friendly hospital.

机译：牙买加母乳喂养新生儿的高钠血症脱水：在一家爱婴医院进行的12年回顾。

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摘要

A 12-year retrospective review of neonates admitted with hypernatraemic dehydration to the neonatal unit of the University Hospital of the West Indies was conducted between 1 January 1990 and 31 December 2001. Twenty-four infants fulfilled the criteria for hypernatraemic dehydration. Nineteen (79%) women were either nulliparous or primiparous with a mean (SD) age of 26.9 (4.4) yrs. Modal length of hospital stay for mothers was 24 hrs. Twenty (83.3%) infants were exclusively breastfed. Mean (SD) age at presentation was 7.4 (3.8) days. Mean (SD) percentage weight loss between birth and presentation was 18.9% (6.3). Mean (SD) serum sodium at presentation was 164.8 (13.9) mmol/L. Babies visited at home by nurses had a lower mean serum sodium, were less dehydrated and were significantly less acidiotic. Their mean (SD) length of hospital stay was also significantly less [4.2 (1.4) days] than those who were not visited [7.9 (3.8) days] (p < 0.05). Complications occurred in 19 (79%) of infants and included renal failure (19, 79%), seizures (3, 13%) and intraventricular haemorrhage (1, 4%), and one died (4%). Hypernatraemic dehydration is an uncommon complication of failure to establish breastfeeding but is associated with severe morbidity and mortality. Education programmes are needed to increase awareness amongst health-care workers and mothers in order to prevent the problem.
机译：在1990年1月1日至2001年12月31日期间，对西印度大学医院新生儿科接受高钠血症脱水的新生儿进行了为期12年的回顾性研究。有24例婴儿符合高钠血症脱水的标准。 19名（79％）妇女为未产或初产，平均（SD）年龄为26.9（4.4）岁。母亲的住院时间为24小时。 20名（83.3％）婴儿仅接受母乳喂养。报告时的平均（SD）年龄为7.4（3.8）天。出生与表现之间的平均（SD）体重减轻百分比为18.9％（6.3）。呈现时的平均（SD）血清钠为164.8（13.9）mmol / L。护士在家中探访的婴儿的平均血清钠含量较低，脱水程度也较低，而且酸中毒明显较少。他们的平均（SD）住院天数也显着缩短了[4.2（1.4）天]，而未拜访者[7.9（3.8）天]（p <0.05）。并发症发生在19名（79％）婴儿中，包括肾功能衰竭（19，79％），癫痫发作（3，13％）和脑室内出血（1，4％），其中一名死亡（4％）。高钠血症脱水是无法建立母乳喂养的罕见并发症，但与严重的发病率和死亡率相关。为了防止这一问题，需要开展教育计划以提高保健工作者和母亲的认识。

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