一名婴儿患有高血症和低血症,原因是仅使用杏仁奶
Mostafa Salama1, Peter J Tebben1,2, Alaa Al Nofal1
1Department of Pediatrics, Division of Pediatric Endocrinology and Metabolism, 4352 Mayo Clinic , Rochester, MN, USA.
Journal of pediatric endocrinology & metabolism : JPEM
|February 28, 2024
概括
幼儿只食用杏仁牛奶可以导致严重的高血和低血. 这一案例凸显了平衡营养和护理人员对植物性牛奶替代品的认识的关键需求.
科学领域:
- 儿童营养学 儿童营养学
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
背景情况:
- 在患有牛奶过敏或乳糖不耐症的儿童中,植物性牛奶替代品很常见.
- 在牛奶和植物替代品 (如杏仁奶) 之间,矿物质含量差异很大.
- 杏仁牛奶品牌在矿物质和热量方面表现出显著的差异.
研究的目的:
- 报告一个婴儿患有高血症和低血症的病例,原因是他只食用杏仁奶.
- 为儿童群体强调评估植物性牛奶替代品中的矿物质含量的重要性.
- 提醒医疗保健提供者和护理人员,了解幼儿使用杏仁奶的潜在风险.
主要方法:
- 一个案例报告,一个14个月大的女孩接受了肝移植,并且只食用杏仁牛奶.
- 临床表现包括严重的高血症 (14.6 mg/dL) 和低血症 (1.6 mg/dL).
- 管理涉及静脉注射液体和切换到专用配方,导致矿物质水平正常化.
主要成果:
- 小孩出现了显著的电解质失衡:高血和低血.
- 观察到尿液中-肌氨酸比率升高和尿液中-肌氨酸比率降低.
- 用液体和均衡配方治疗成功地纠正了矿物质异常.
结论:
- 植物乳可以替代牛奶,但需要对婴幼儿的矿物质含量进行仔细评估.
- 对于这个年龄组的营养需求,不建议仅仅依赖杏仁奶.
- 护理人员必须对幼儿吃杏仁奶的潜在风险进行教育.
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