Hypernatraemic dehydration.

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Hypernatraemic dehydration in newborn infants

Hypernatraemic dehydration is a potentially lethal condition and is associated with cerebral oedema, intracranial haemorrhage, hydrocephalus and gangrene. The infant’s plasma sodium concentration is elevated due predominantly to loss of extracellular water. In the past, hypernatraemia occurred most frequently when artificial feeds of too high a sodium concentration were fed to babies. This was ...

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Dexamethasone in the treatment of hypernatraemic dehydration.

Ninety infants with severe hypernatraemic dehydration (plasma sodium greater than 150 mmol/l) were studied. Most had had a convulsion before admission. They were allocated to two treatment groups. Both groups received intravenous plasma followed by slow intravenous rehydration and correction of acidosis. In addition, one group received intramuscular phenobarbitone, the other group received dexa...

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Peripheral gangrene in hypernatraemic dehydration of infancy.

Gangrene of the extremities complicating diarrhoea and severe hypernatraemic dehydration occurred in 6 infants. This is a rare complication of gastroenteritis, and its association with hypernatraemia does not seem to have previously been emphasized. The increased blood viscosity resulting from serum hyperosmolarity may have been responsible for the gangrene, and studies in our patients suggeste...

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Hypernatraemic dehydration in exclusively breastfed infants: a potentially fatal complication.

There have been several reports in the literature about hypernatraemic dehydration and severe malnutrition in exclusively breastfed infants. The authors report a series of four such cases admitted to the Newborn Special Care Unit of the University Hospital of the West Indies over a seven-year period. All four were term infants who had weight loss of greater than 20% of their birthweight, serum ...

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Hypernatraemic dehydration and breast feeding: a population study.

As part of a population based regional review of all neonatal readmissions, the incidence of dehydration with hypernatraemia in exclusively breast fed infants was estimated. All readmissions to hospital in the first month of life during 1998 from a population of 32 015 live births were reviewed. Eight of 907 readmissions met the case definition, giving an incidence of at least 2.5 per 10 000 li...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1982

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.57.6.481-b