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2018, Number 1

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Arch Inv Mat Inf 2018; 9 (1)

Imaging findings in newborn infants with hypernatremic dehydration

Jayme RYA, García RJF, Valdés LA

Language: Spanish
References: 17
Page: 12-20
PDF size: 138.93 Kb.


ABSTRACT

Introduction: Hypernatremia is an important disorder that can cause neurological damage or be fatal. Neonatal hypernatremia is defined as a serum sodium level greater than 145 mEq/L, which is associated with significant weight loss, and represents 20% of the cases of dehydration and reflects a deficit of extracellular water in relation to the corporal content of sodium. Hypothesis: there is a relationship between severe neonatal hypernatremia and imaging findings. Objective: Identify the findings of ultrasound and CT images in neonates with hypernatremic dehydration in newborns of Hospital para el Niño, IMIEM. Material and methods: This is a retrospective, observational, descriptive and cross-sectional study. A review of records was made of patients admitted to the Neonatology Service of the Hospital para el Niño, IMIEM during the period from January 1, 2014 to June 30, 2016, data were collected according to the collection sheet, and was determined the relationship between severe hypernatremia with ultrasound and CT findings in neonates with hypernatremic dehydration in the Neonatology Department of Hospital Para el Niño. Results: Were identified 174 cases, of which 70 were found with severe hypernatremia. It was found 17 cases of edema (24.2%), and 8 cases of cerebral haemorrhage (11.4%). The findings through simple CT scan of the skull were: 17 cases of edema (20%) 3 cerebral haemorrhage (4.2%), however, in 51 cases no CT scan was performed (72.8%). Conclusions: We determined that there is a relationship between the presence of severe hypernatremia and the development of neurological damage.


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