先天性维生素D缺乏症:在婴儿早期出现食困难:一个病例报告
Mesfin Wubishet1, Tesfa G Meskel2, Kibret Enyew3
1Department of Pediatrics, Arsi University College of Health Sciences, Asella, Ethiopia. meswubwg2009@gmail.com.
Journal of medical case reports
|February 7, 2025
概括
先天性维生素D缺乏会导致严重的婴儿健康问题,如喉,导致食困难和呼吸暂停. 早期查和对有风险的母亲和婴儿的补充对预防至关重要.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 维生素D缺乏是全球重要的健康问题,特别是在纯母乳养的婴儿中.
- 由于文化因素的影响,母亲的维生素D缺乏会增加婴儿患低血症并发症的风险.
- 食困难和复发性呼吸暂停是婴儿低血症的罕见但严重的表现.
研究的目的:
- 为了呈现婴儿因先天性维生素D缺乏症而导致的低热血症诱导的喉发作病例.
- 突出考虑婴儿缺血症的重要性,这些婴儿有不明原因的食或呼吸问题.
- 强调对有风险的母亲和新生儿进行查和补充.
主要方法:
- 一个50天大的埃塞俄比亚婴儿的病例报告显示,婴儿有食困难,呼吸暂停和蓝色炎症.
- 诊断缺血症诱导的喉 spasm 继发于先天性维生素D 缺乏.
- 用静脉和口服和维生素D补充剂进行治疗.
主要成果:
- 婴儿的症状被归因于由低热血症引起的喉发作,这是由于母亲的维生素D缺乏引起的.
- 由于母亲穿着尼卡布而受到有限的阳光照射,导致她的维生素D水平较低.
- 成功治疗导致症状完全消失,生化参数正常化.
结论:
- 低血症引起的喉是婴儿罕见但危急的疾病.
- 临床医生应怀疑新生儿有不明原因的食困难或呼吸暂停时出现低血症.
- 查母亲和婴儿的维生素D和水平至关重要,特别是在高风险怀孕中.
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