中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
11期
1173-1175
,共3页
原发性乳糖不耐受症%去乳糖奶粉%饮食疗法%诊断%婴儿
原髮性乳糖不耐受癥%去乳糖奶粉%飲食療法%診斷%嬰兒
원발성유당불내수증%거유당내분%음식요법%진단%영인
Primary lactase deficiency%Lactose-free formulas%Dietary therapy%Diagnosis%Infants
目的 探讨婴儿原发性乳糖不耐受症的临床特征和诊治方法.方法 对我院消化科门诊2009年10月至201 1年2月诊断为原发性乳糖不耐受症婴儿的临床资料进行分析.结果 26例患儿均生后1～2个月内发病,病程1～4个月;母乳喂养10例,混合喂养8例,奶粉喂养8例.临床表现为慢性或迁延性腹泻,大便稀水样或泡沫状,每天4～8次;19例曾接受抗生素治疗无好转.经去乳糖饮食及口服益生菌均于1周症状好转,再次食用乳类临床症状复发.结论 婴儿原发性乳糖不耐受症主要表现为长期腹泻,易误诊并滥用抗生素,去乳糖饮食有助于确诊并治疗本病.
目的 探討嬰兒原髮性乳糖不耐受癥的臨床特徵和診治方法.方法 對我院消化科門診2009年10月至201 1年2月診斷為原髮性乳糖不耐受癥嬰兒的臨床資料進行分析.結果 26例患兒均生後1～2箇月內髮病,病程1～4箇月;母乳餵養10例,混閤餵養8例,奶粉餵養8例.臨床錶現為慢性或遷延性腹瀉,大便稀水樣或泡沫狀,每天4～8次;19例曾接受抗生素治療無好轉.經去乳糖飲食及口服益生菌均于1週癥狀好轉,再次食用乳類臨床癥狀複髮.結論 嬰兒原髮性乳糖不耐受癥主要錶現為長期腹瀉,易誤診併濫用抗生素,去乳糖飲食有助于確診併治療本病.
목적 탐토영인원발성유당불내수증적림상특정화진치방법.방법 대아원소화과문진2009년10월지201 1년2월진단위원발성유당불내수증영인적림상자료진행분석.결과 26례환인균생후1～2개월내발병,병정1～4개월;모유위양10례,혼합위양8례,내분위양8례.림상표현위만성혹천연성복사,대편희수양혹포말상,매천4～8차;19례증접수항생소치료무호전.경거유당음식급구복익생균균우1주증상호전,재차식용유류림상증상복발.결론 영인원발성유당불내수증주요표현위장기복사,역오진병람용항생소,거유당음식유조우학진병치료본병.
Objective To investigate the clinical characteristics and treatment strategies of primary lactase deficiency in infants.Methods The clinical data of 26 infants with primary lactase deficiency in Shenzhen Chidlren's hospital from October 2009 to February 2011 were analyzed retrospectively and the diagnoses were confirmed by dietary therapy.Results The patients were consisted of 19 males and 7 females,whose ages of onset ranged from 1 to 2 months,persisting 1 to 4 months.Breast feeding,mixed feeding and formula feeding were given in 10 cases,8 cases and 8 cases,respectively.The main clinical manifestations were persistent or chronic diarrhea,with watery and or foamy stools,4 to 8 times per day.Nineteen patients had received antibiotics but without improvement.Lactose free formula and oral probiotics improved the symptoms within 1 week in all 26 cases,but recurrence of symptoms followed reintroduction of dairy foods.Conclusion The clinical manifestations of primary lactase deficiency in infants are persistent or chronic diarrhea.Lactose free formula can be used to confirm the diagnosis and to improve the symptoms.
