标题：Use of Only Oral Rehydration Salt Solution for Successful Management of a Young Infant with Serum Sodium of 201 mmol/L in an Urban Diarrhoeal Diseases Hospital, Bangladesh
期刊名称：The Journal of Health, Population and Nutrition
印刷版ISSN：1606-0997
电子版ISSN：2072-1315
出版年度：2012
卷号：30
期号：3
页码：371-376
出版社：International Centre for Diarrhoeal Disease Research Bangladesh
摘要：A boy aged 4 months 7 days was admitted to the Intensive Care Unit (ICU) of the Dhaka Hospital of
icddr,b, Dhaka, Bangladesh, with the problems of acute watery diarrhoea with some dehydration, pneumonia,
lethargy, and hypernatraemia (serum sodium of 201 mmol/L). Correction for hypernatraemia was
tried by using only oral rehydration salt (ORS) solution. Seizures occurred during correction of the hypernatraemia.
These were difficult to control and required three doses of injection lorazepam, a loading dose
of injection phenobarbitone, followed by injection phenytoin and finally two doses of injection mannitol
(even though there was no clinical or imaging evidence by ultrasonography or computed tomography of
cerebral oedema). The correction was continued with ORS, and all the anticonvulsants were successfully
weaned without any further seizures, and the patient recovered without any overt neurological sequelae.
We present a case report of extreme hypernatraemia, which was successfully managed using only ORS.
