3例新生儿鱼鳞病高钠血症脱水的处理

IF 0.4 4区 医学 Q4 PEDIATRICS
Razieh Sangsari, M. Saeedi, K. Mirnia
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引用次数: 0

摘要

鱼鳞病是一种表皮破坏,增加不敏感的水分流失。高钠血症性脱水是皮肤破裂的结果。本研究回顾了鱼鳞病患者高钠血症脱水的治疗与皮肤完好患者的比较。病例介绍:我们研究了5例新生儿高钠血症,包括3例鱼鳞病和2例正常皮肤新生儿。本病例系列研究表明,患有鱼鳞病的婴儿的钠矫正率比皮肤正常的婴儿慢。与皮肤正常的婴儿相比,第一个和第二个新生儿所需的钠少于液体摄入量,尽管第三个鱼鳞病婴儿的液体需要量比其他婴儿低,因为这个婴儿的皮肤破坏较少。结论:鱼鳞病患者高钠血症性脱水的液体治疗不同于皮肤完好的新生儿,因为这些患者有大量的不敏感水分流失。根据皮肤破损的程度,可能需要给予更多的液体和更少的钠,这可能无法通过体检确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Hypernatremia Dehydration in Three Neonates with Ichthyosis
Introduction: Ichthyosis is an epidermal disruption that increases insensible water loss. Hypernatremic dehydration is a consequence of skin disruption. This study reviewed the treatment of hypernatremic dehydration in patients with ichthyosis comparing to patients with intact skin. Case Presentation: We studied five neonates with hypernatremia, including three ichthyosis cases and two normal-skin neonates. This case-series study showed that the sodium correction rate is slower in infants with ichthyosis than in infants with normal skin. The first and second neonates needed less sodium than fluid intake than normal skin infants, although fluid requirement was lower in the third ichthyosis infant than in others due to less skin disruption in this infant. Conclusions: Fluid therapy in hypernatremic dehydration in ichthyosis patients is different from neonates with intact skin because of excessive insensible water loss in these patients. It may be needed to give more fluid and less sodium depending on the degree of skin disruption, which may not be determined by physical examination.
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来源期刊
CiteScore
0.90
自引率
20.00%
发文量
75
审稿时长
6-12 weeks
期刊介绍: Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.
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