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Clinical Study on Hypernatremic Dehydration in Children.

Journal of the Korean Pediatric Society 1990;33(2):146-152.
Published online February 28, 1990.
Clinical Study on Hypernatremic Dehydration in Children.
Young Mi Kim, Key Young Song, Sung Ho Kim, Tae Chan Kwon, Chin Moo Kang
Department of pediahics,Keimyung University, School of Medicine, Taegu, Korea
소아 고장성 탈수증의 임상적 고찰
김영미, 송기영, 김성호, 권태찬, 강진무
계명대학교 의과대학 소아과학교실
Received: 7 July 1989   • Accepted: 17 October 1989
The clinical study was done on 68 cases of hypernatremic dehydration which were diagnosed at pediatric department of Dong-san Hospital Keimyung University during the period from January 1980 to June 1987. The results were as follows; 1) Among 672 cases with dehydration, hypernatremic dehydration was 10.1% 2) The higer monthly distribution was in May and November. 3) Out of 68 cases, 61 cases (89.7%) were under the 6 months of age with the peak incidence in neonatal period (64.7%). 4) In 52 cases (76.5%), serum Na was between 150—159 mEq/L. 5) The other laboratory findings were as follows; BUN and creatinine were increased in about 75% hypocalcemia in 25% hypokalemia in 5.9% hyperkalemia in 35.3%. 6) The most frequent underlying disease was sepsis (45.6%) followed by gastroenteritis (36.8%). 7) As for the feeding history, the formular feeding was in 50.5% and breast feeding in 23.5%. 8) The hyperglycemia (over 250 mg/dl) was observed in 22.0%. 9) The convulsion was developed in 20.6%. As the serum sodium level was increased, the frequency of convulsion was also increased. 10) Mortality rate was 8.9%, 12 cases (17.6%) were discharged in hopeless state and neurologic sequeale was seen in 4 cases (5.9%).
Key Words: Hypernatremic dehydration

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