ORAL WATER-INTOXICATION IN INFANTS - AN AMERICAN EPIDEMIC

被引:75
作者
KEATING, JP
SCHEARS, GJ
DODGE, PR
机构
[1] WASHINGTON UNIV,SCH MED,EDWARD MALLINCKRODT DEPT PEDIAT,DIV GASTROENTEROL & NUTR,ST LOUIS,MO 63110
[2] WASHINGTON UNIV,SCH MED,EDWARD MALLINCKRODT DEPT PEDIAT,DIV NEUROL,ST LOUIS,MO 63110
[3] ST LOUIS CHILDRENS HOSP,ST LOUIS,MO 63178
来源
AMERICAN JOURNAL OF DISEASES OF CHILDREN | 1991年 / 145卷 / 09期
关键词
D O I
10.1001/archpedi.1991.02160090037018
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Between 1975 and 1990, a total of 34 patients with water intoxication were treated at St Louis (Mo) Children's Hospital, 24 of these in the last 3 years, indicating a marked increase in incidence of this previously rare condition. Thirty-one were infants living in poverty who ingested excessive amounts of water offered at home by their caretakers. Exhaustion of the supply of infant formula was the most common reason given for this substitution. Infants were treated by a single infusion of hypertonic saline or a slow infusion of isotonic saline. Central pontine myelinolysis was not observed as a complication of hypertonic saline therapy. Modification of the Special Supplemental Food Program for Women, Infants, and Children to provide sufficient formula for the growing infant and better education of mothers as to the hazards of excessive water ingestion might reduce the incidence of this preventable and life-threatening condition.
引用
收藏
页码:985 / 990
页数:6
相关论文
共 36 条
[1]   HYPONATREMIA, CONVULSIONS, RESPIRATORY ARREST, AND PERMANENT BRAIN-DAMAGE AFTER ELECTIVE SURGERY IN HEALTHY WOMEN [J].
ARIEFF, AI .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (24) :1529-1535
[2]  
ARIEFF AI, 1987, KIDNEY INT, V31, P290
[3]  
BASKIN JL, 1958, AJDC, V83, P618
[4]  
BLACK JA, 1987, PAEDIATRIC EMERGENCI, P125
[5]   ACUTE WATER-INTOXICATION IN HEALTHY INFANTS [J].
BOROWITZ, SM ;
ROCCO, M .
SOUTHERN MEDICAL JOURNAL, 1986, 79 (09) :1156-1158
[6]   LONG-TERM NEUROLOGIC OUTCOME IN PSYCHOGENIC WATER DRINKERS WITH SEVERE SYMPTOMATIC HYPONATREMIA - THE EFFECT OF RAPID CORRECTION [J].
CHENG, JC ;
ZIKOS, D ;
SKOPICKI, HA ;
PETERSON, DR ;
FISHER, KA .
AMERICAN JOURNAL OF MEDICINE, 1990, 88 (06) :561-566
[7]   MANAGEMENT OF SEVERE HYPONATREMIA - RAPID OR SLOW CORRECTION [J].
CLUITMANS, FHM ;
MEINDERS, AE .
AMERICAN JOURNAL OF MEDICINE, 1990, 88 (02) :161-166
[8]  
Corneli H M, 1985, Pediatr Emerg Care, V1, P190, DOI 10.1097/00006565-198512000-00005
[9]  
CRAWFORD J D, 1959, Pediatr Clin North Am, V6, P257
[10]   VOLUNTARY WATER INTOXICATION IN NORMAL INFANTS [J].
CRUMPACK.RW ;
KRIEL, RL .
NEUROLOGY, 1973, 23 (11) :1251-1255