Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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모유 수유 환아에서 발생한 심한 고나트륨혈성 탈수

Severe hypernatremic dehydration in a breast-fed neonate

  • 오윤정 (인하대학교 의과대학 소아과학교실) ;
  • 이지은 (인하대학교 의과대학 소아과학교실) ;
  • 안소현 (인하대학교 의과대학 소아과학교실) ;
  • 김양경 (인하대학교 의과대학 소아과학교실) ;
  • 강성길 (인하대학교 의과대학 소아과학교실) ;
  • 김자경 (강원대학교 의과대학 소아과학교실) ;
  • 손병관 (인하대학교 의과대학 소아과학교실) ;
  • 전용훈 (인하대학교 의과대학 소아과학교실)
  • Oh, Yun Jung (Department of Pediatrics, College of medicine, Inha University) ;
  • Lee, Ji Eun (Department of Pediatrics, College of medicine, Inha University) ;
  • An, So Hyun (Department of Pediatrics, College of medicine, Inha University) ;
  • Kim, Yang Kyong (Department of Pediatrics, College of medicine, Inha University) ;
  • Kang, Sung Kil (Department of Pediatrics, College of medicine, Inha University) ;
  • Kim, Ja Kyoung (Department of Pediatrics, College of medicine, Kangwon National University) ;
  • Son, Byong Kwan (Department of Pediatrics, College of medicine, Inha University) ;
  • Jun, Yong Hoon (Department of Pediatrics, College of medicine, Inha University)
  • 투고 : 2006.09.15
  • 심사 : 2006.10.27
  • 발행 : 2007.01.15
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초록

모유 수유로 인한 고나트륨혈성 탈수는 흔하지는 않으나, 최근 모유 수유가 증가하면서 그 빈도가 증가할 수 있다. 고나트륨혈증은 여러 심각한 합병증을 초래할 수 있으므로 조기에 발견하여 치료해야 하며, 무엇보다 예방이 중요하다. 모유 수유로 인한 고나트륨혈성 탈수의 예방을 위해서는 모유 수유에 대한 올바른 교육과 퇴원 후 조기 추적 관찰이 중요하다. 저자들은 정상 신생아에서 아무런 합병증 없이 치료된 모유 수유로 인한 고나트륨혈성 탈수를 경험하였기에 이를 보고하는 바이다.

Although it is a rare condition, breast-feeding may result in hypernatremic dehydration. However, incidences might be increasing with more mothers breast-feeding. Although the early detection and management of hypernatremic dehydration from breast-feeding is important, its prevention is even more important on account of its serious complications. In order to prevent hypernatremic dehydration secondary to breast-feeding, it is essential to educate mothers in successful breast-feeding methods. An early follow-up after discharge is recommended. We report a case of hypernatremic dehydration secondary to breast-feeding in a full-term newborn that was corrected without any complications.

키워드

참고문헌

  1. Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol 1998;19:19-22 https://doi.org/10.1097/00000433-199803000-00003
  2. Thullen JD. Management of hypernatremic dehydration due to insufficient lactation. Clin Pediatr (Phila) 1988;27:370-2 https://doi.org/10.1177/000992288802700803
  3. Cooper WO, Atherton HD, Kahana M, Kotagal UR. Increased incidence of severe breastfeeding malnutrition and hypernatremia in a metropolitan area. Pediatrics 1995;96:957-60
  4. Smith RG. Severe hypernatremic dehydration in a newborn infant. J Pediatr child Health 1998;3:413-5 https://doi.org/10.1093/pch/3.6.413
  5. Penalver Giner O, Gisbert Mestre J, Casero soriano J, Bernal Ferrer A, Oltra Beravent M, Tomas Vila M. Hypernatremic dehydration associated with breast-feeding. An Pediatr (Barc) 2004;61:340-3 https://doi.org/10.1157/13066432
  6. Park KP, Kim JK, Kim HM. A case of hypernatremic dehydration in an excusively breast-fed newborn infant. J Korean Pediatr Soc 2002:45:790-5
  7. Ng PC, Chan HB, Fok TF, Lee CH, Chan KM, Wong W, et al. Early onset of hypernatremic dehydration and fever in exclusively breast-fed infants. J Paediatr Child Health 1999;35:585-7
  8. Oddie S, Richmond S, Coulthard M. Hypernatremic dehydration and breast feeding: a population study. Arch Dis Child 2001;85:318-20 https://doi.org/10.1136/adc.85.4.318
  9. Van der Heide PA, Toet MC, van Diemen-Steenvoorde JA, Renardel de Lavalette PA, de Jonge GA. Hypertonic dehydration in 'silent' malnutrition of breast-fed infants. Ned Tijdschr Geneeskd 1998;142:993-5
  10. Paul AC, Ranjini K, Muthulakshmi, Roy A, Kirubakaran C. Malnutrition and hypernatraemia in breastfed babies. Ann Trop Paediatr 2000;20:179-83 https://doi.org/10.1080/02724936.2000.11748131
  11. Harding D, Cairns P, Gupta S, Cowan F. Hypernatremia: why bother weighing breast fed babies? Arch Dis Child Fetal Neonatal Ed 2001;85:145 https://doi.org/10.1136/fn.85.2.F145
  12. Sofer S, Ben-Ezer D, Dagan R. Early severe dehydration in young breast-fed newborn infants. Isr J Med Sci 1993;29:85-9
  13. Heldrich FJ, Shaw SS. Case report and review of literature: hypernatremia in breast-fed infants. Md Med J 1990;39:475-8
  14. Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ 2000;162:647-52