#常观世音微语录#
ABSTRACT
Although many babies thrive on cow’s milk mixtures, some become hypersensitive to cow’s milk and develop such allergic ailments as mild skin rash, simple colic, nasal or respiratory symptoms, or, occasionally, an infant may become desperately ill from allergic shock. When a few drops of cow’s milk are put on the tongue of the unusually hypersensitive infant, he may even die of milk allergy.
In general pediatric practice up to 3 % of infants develop sensitivity to cow’s milk during the first few months of their lives, according to Dees, Collins-Williams and Breslow. However, because of my special interest in infants who are feeding problems, the incidence of allergy to milk in the babies I see in my own practice is almost 6%.
The substitution of soy bean milk for cow’s milk for a period of about 48 hours will rid the infant of his allergic syndrome. Re-feeding cow’s milk will cause a recurrence of the allergic syndrome. This sequence provides all the clinical proof that is necessary to make the diagnosis that the baby is allergic to cow’s milk. The infant should be fed a soybean milk formula for at least the next four months, during which time he may develop hyposensitization through abstinence to cow’s milk.
The most common allergic syndromes occurring in infants hypersensitive to cow’s milk will be described under the following headings: (a) dermatologic syndromes, (b) gastrointestinal syndromes, (c) respiratory syndromes, (d) cerebral syndromes, and (e) constitutional syndromes. This listing does not include all possible adverse reactions that may result from allergy to cow’s milk in infants.
Early recognition and specific management of this type of allergy in infants may minimize the possibility that the individual will develop more serious allergies to other materials as he grows older. With proper treatment of his milk allergy, the infant should be able to grow and develop, mentally and physically, as normally as any non-allergic child.
《国际过敏与免疫学档案》 13：245—256 (1958)
【标题】婴儿和儿童的牛奶过敏
【作者】Norman W.Clein
华盛顿州西雅图市儿童诊所
【摘要】
虽然许多婴儿靠牛奶混合物茁壮成长，但有些婴儿会对牛奶过敏，并发展出诸如轻度皮疹、单纯性绞痛、鼻腔或呼吸系统综合症等各种过敏疾病，或者，偶然机会下婴儿可能会因为过敏休克而病入膏肓。当几滴牛奶滴在异常敏感的婴儿的舌头上时，他甚至可能死于牛奶过敏。
迪斯、柯林斯-威廉斯和布雷斯洛认为，在一般儿科实践中，3%的婴儿在生命的头几个月对牛奶敏感。然而，由于我对有喂养问题的婴儿特别感兴趣，在我自己的实践中看到的婴儿对牛奶过敏的发生率几乎是6%。
用豆浆代替牛奶约48小时，可消除婴儿过敏症状。重新喂食牛奶会导致过敏综合症的复发。该系列情况为诊断婴儿对牛奶过敏提供了必要的临床依据。婴儿应至少在接下来的四个月里食用豆奶配方奶粉，在此期间，他可能会因为不喝牛奶而消除过敏现象。
对牛奶过敏的婴儿中最常见的过敏综合症将在以下标题下进行描述：(a)皮肤综合症，(b)胃肠综合症，(c)呼吸综合症，(d)大脑综合症，(e)体质综合症。这一列表还不包括婴儿因牛奶过敏引起的所有可能的不良反应。
对婴儿这种类型过敏的早期识别和特殊管理，可以最大限度地减少个体随着年龄的增长对其他物质产生更严重过敏的可能性。通过对牛奶过敏的适当治疗，这样的婴儿应该能够像任何不过敏的孩子一样身心正常地成长和发育。
