[新生儿和婴儿中毒性高铁血红蛋白血症]。

Bilten za hematologiju i transfuziju Pub Date : 1979-01-01
D Durosev
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引用次数: 0

摘要

对1968 ~ 1979年苏伯市医院儿童科新生儿和哺乳期新生儿中毒性高铁血蛋白血症病例进行了分析。所有患者高铁血红蛋白血症均由含硝酸盐的井水引起。这种状态的起源取决于:儿童的生长,因为在生命的最初几个月他们有不成熟的红细胞高铁血红蛋白还原酶,维生素C缺乏症和胃肠道功能障碍。诊断是基于从不卫生的井中取水的记忆数据,对不同强度的紫绀,在维生素C治疗期间消失,后来没有任何复发。在过去的几年里,由于更好的饮用水供应,这种情况正在减少。在易感地区,通过健康教育和预防性口服维生素C可进一步降低发病率。
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[Toxic methemoglobinemia in newborns and infants].

It has been analised cases of toxic methemoglobinemia in newborns and sucklings on patients of children department city hospital Sombor in period from 1968 to 1979. In all patients methemoglobinemia was caused with wellwater containing nitrates. Originate of this state depends on: growth of child because in first few month of life they have immature methemoglobin reductase in erythrocyte, hypovitaminosis C and gastrointestinal disfunction. Diagnosis was based on anamnestical data that was used water from unhygenic well, on cyanosis of various intensity and that have disappeared during the treatment with vitamin C and not give any recurrence later. In last years number of such cases is decreasing because of better suply with proper drinking water. Further decrease can be achieved with health education and prophylactic peroral consumption of vitamin C in predisposing regions.

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