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泡嬰兒奶粉絕對不要用開飲機的水

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泡嬰兒奶粉絕對不要用開飲機的水

開飲機和逆滲透水機的水,不合適泡牛奶給嬰幼兒喝。台中醫院小兒科最近一個月陸續接獲十例因沙門氏菌感染的個案,
其中不少是飲用開飲機和逆滲透機所泡的牛奶;該院小兒科主任李明鎮指出,[color="Red"]給嬰幼兒食用的水一定要煮沸,
不能太相信逆滲透等開飲機,主要是進水後冷熱水混合未煮沸就飲用,可能有安全顧慮,提醒家長不可輕忽。

沙門氏菌感染是夏天常見的傳染病之一,多以急性腸炎表現。李明鎮指出,當寶寶有腹瀉、持續高燒3~4天不退,明顯腹脹與嘔吐,
就要當心是否為沙門氏菌感染,要及早就醫,通常沙門氏菌主要的宿主是動物,包括家禽、家畜及爬蟲類,如烏龜、蜥蜴等,
這些動物的糞便或分泌物,經由動物製品(如雞蛋)、吃下被汙染的食物、飲用水都有可能被感染。

這十例被感染的病兒,年紀最小的只有六個月大,最大的兩歲,李明鎮指出,大多數病兒出現39℃高燒不退、拉肚子、不停哭鬧等症狀,
甚至大便中帶有血絲,且散發臭味,其間,有多例是喝了媽媽用開飲機或是逆滲透水機泡的牛奶而出狀況。

李明鎮指出,沙門氏菌引發急性腸胃炎,在人體接觸汙染的食物後6~8小時發作,感染初期症狀以噁心、嘔吐及腹絞痛最為常見,
接著出現帶有黏液或血絲的腹瀉,偶有水瀉,且合併頭痛、肌肉痠痛、發燒等不適,施以支持性療法,多在2~7天內緩解,
高燒和腹脹症狀會逐漸改善,少數患者會有持續的慢性腹瀉。

沙門氏菌可能停留在體內一段時間,糞便中會持續排出病菌達1~2個月之久,李明鎮指出,若病兒抵抗力不足,病菌除易侵入血液導致敗血症外,
還可能侵入腦膜引起腦膜炎,或造成肝膿瘍、肌肉膿瘍、骨髓炎等,感染後未必都會發病,發病後的症狀也有輕重之別,和個人的抵抗力有關。

李明鎮指出,沙門氏菌怕胃酸,也怕腸道內的抗體,一個正常人需吃下十萬隻以上的沙門氏菌才會得病,嬰幼兒及老人家體力、抵抗力差者,
或因消化性潰瘍長期服用大量制酸劑的人比較容易罹病。
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