All issues > Volume 33(2); 1990

Original Article

J Korean Pediatr Soc. 1990;33(2):146-152. Published online February 28, 1990.

Clinical Study on Hypernatremic Dehydration in Children.

Young Mi Kim¹, Key Young Song¹, Sung Ho Kim¹, Tae Chan Kwon¹, Chin Moo Kang¹

¹Department of pediahics，Keimyung University, School of Medicine, Taegu, Korea

Received: July 7, 1989;  Accepted: October 17, 1989.

Abstract

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%).

Keywords :Hypernatremic dehydration