病例报告:非典型呈现的病与低血症相关的吐
Andrea Francioni1, Verena Simone1, Elisa Laschi1
1Clinical Pediatrics, Department of Molecular Medicine and Development, University of Siena, Azienda Ospedaliero-Universitaria Senese, Siena, Italy.
Frontiers in pediatrics
|August 18, 2025
概括
营养性狂犬病可能会出现不寻常的症状,例如由于严重的低血症而导致吐. 早期识别这种胃肠道表现对于及时诊断和治疗儿童至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 胃肠病学 胃肠病学
背景情况:
- 由维生素D/缺乏引起的营养,通常表现为骨问题.
- 胃肠道症状,特别是吐,是不常见的低血症的主要表现.
研究的目的:
- 报告一种营养性狂犬病病例,呈现出孤立的食后吐.
- 要强调考虑婴儿患有无法解释的胃肠道症状的病的重要性.
主要方法:
- 一个9个月大的婴儿患有孤立吐的病例展示.
- 实验室评估包括电解质,和维生素D水平.
- 癌症的放射性确认和用维生素D和补充剂的治疗.
主要成果:
- 婴儿出现了严重的低血症,代谢性和延长的QTc间隔,以及孤立的吐.
- 营养性狂犬病的诊断得到证实,治疗导致症状消失和生化正常化.
- 这一病例是首次报告隔离的食后吐作为营养的症状.
结论:
- 低血症引起的胃肠道动力障碍可以表现为营养性狂犬病中的吐.
- 临床医生应考虑在患有不寻常的胃肠道症状的婴儿中进行营养,特别是在风险人群中.
- 及时诊断和管理对于预防长期并发症至关重要.
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