Glucose polymer regimens and hypernatraemia.
نویسندگان
چکیده
A 3 year old boy who had glutaric aciduria diagnosed at 22 months of age was admitted with a history of lethargy, vomiting, and fever. He had been receiving glucose polymers as part of his dietary management. He was severely hypernatraemic, but after resuscitation and rehydration made a good recovery. The possible aetiology of his hypernatraemia is discussed.
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Sir, Sandhu et al.1 showed convincingly that oral rehydration with a glucose-polymer solution (12.5 g/100 ml, giving 730 mmol/l glucose) and 90 mmol/l sodium predisposes to hypernatraemia. In so doing they reproduced the circumstances that contributed to the epidemic of hyper-natraemia in the 1950s.2 At that time commercial oral rehydration solutions were changed to high concentrations of gluco...
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ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 65 6 شماره
صفحات -
تاریخ انتشار 1990