婴幼儿维生素D缺乏性佝偻病118例临床分析

对118例婴幼儿维生素D缺乏性佝偻病临床分析结果为:发病年龄以1(1/2)岁以下多见,以四、五月为高峰期。本组发病与户外活动少,喂养因素有着密切关系。诊断以多汗、夜惊、睡不安,枕秃、方颅、肋缘外翻,前囱晚闭以及血生化检查血钙、血磷、碱性磷酸酶为主要依据。全组病例均有并发症,主要为肺炎、支气管炎、上呼吸道感染及腹泻。在治疗上一律给予维生素D_3肌注,同时加服钙片。

Clinical study on 118 cases of vitamin D deficiency rickets in infants and young children

Reports the clinical data of 118 infants with vitamin-D deficiency rickets admit t ed in our hospital during 1981-1987. This report shows that rickets may occur all the year round. The peak time is April and May(60cases,50.8%). This is somewhat different from other reports in Guangxi in which the prevalence of rickets is higher in autnmn than in spring.Of 118 cases, 92 (78%)were males and 26 (22%) females the ratio being3.5 : 1. This is in accordance withprevious literatures. The onset of rickets occurred in most cases under the age of 1 1/2,especially below one year old(89 cases,75.4%). The occurrence of rickets is also(?)loosely related tomode of feeding, a(?)ng (?)casesmixed feeding in 103 cases (87.2%), artificial feeding. in 10 cases (8.5%), maternal milk feeding in 5 cases (4.3%).In addition, outdoor activities are of importance. Outdoor activities less than two hours daily were seen inl06 cases(90%).