婴儿手足搐搦症110例临床分析

CLINICAL ANALYSIS OF 110 CASES WITH INFANTILE TETANY

本文对110例婴儿手足搐搦症进行了分析,患儿年龄为28天～1岁,其中3个月以下及牛奶喂养儿发病率高。肺炎和肠炎常诱发本病,当本病合并感染发热时,常与化脑相混淆,应作腰穿查CSF下以明确诊断。激素可影响钙的吸收,使本病病程迁延,故对此类患儿应慎用激素。

110 cases of infantile tetany were analysed. Age ranged from 28-day-old to one-year-old. There was a higher incidence among the infants under three-month-old and cow's milk fed. The pulmonary and intestinal infections were important contributing factors to this disease. Coexisting with febrile illness, infantile tetany was often misdiagnosed as purulent meningitis, however, the latter could be excluded by the negative findings of CSF. Steroid hormones should be avoided for hese patients, for it interfered the intestinal absorption of calcium and resulted in a slow recovery.