摘要
目的:探讨新生儿低血糖的病因,临床表现及治疗方法。方法:新入院新生儿常规测微量血糖,对有低血糖的早产儿和小于胎龄儿,给25%G.S2ml/kg静推,后给葡萄糖5～6mg/kg.min维持,足月儿给25%G.S3～4ml/kg,静推后给葡萄糖8～10mg/kg.min,并监测血糖。结果:21例低血糖新生儿中,早产儿、小于胎龄儿10例,占47.6%(10/21)。临床表现阵发性口唇紫绀7例,无症状4例,低体温6例。早产儿,小于胎龄儿按5～6mg/kg.min。输糖疗效肯定,母亲患隐性糖尿病和严重感染的患儿血糖纠正困难。结论:早产儿、小于胎龄新生儿易发生低血糖,对有阵发性紫绀、低体温、感染的新生儿应重视血糖监测。
Objective To approach the etiology clinical ma nifestations and treatment of neonatal hypoglycemi-a.Methods We routinely measuure trace blood su gar of every newly hospitalized neon ates .25%G.S was intravenously administered to the premature infan ts and SGAs with hypoglycemia at the d ose of 2ml /kg firstly.Then glucose was given at the speed of 5～6mg /kg.min.A s to the normal term infants,after giving 25%G.S at the dose of 3～4ml /kg intravenously,glucose was input at the speed of 8～10mg /kg.min.Blood su gar was supervised simultaneously.Result10cases fromthe 21neonates with hyp oglycemia were premature infants an d SGAs,which occupied 47.6%(10/21)of the total .7patients presented paro xymally cyanosis,4patients were sy mptomless and the other 6showed hypother-mia.Glucose given at the speed of 5～6mg /kg.min was proved to be quite effe ctive for the premature infants and SGAs.However,hypoglucemia is diff icult to cure for the patients whose m other suffered recessive diabettes and those who underwent severe infection.Conclusion Premature infants and SGAs are predi sposed to hypoglycemia.Blood sugar should be monitored for those neonates who present paroxysmal cyanosis,hypothmia or suffer infection.
出处
《安徽卫生职业技术学院学报》
2002年第2期33-34,共2页
Journal of Anhui Health Vocational & Technical College
关键词
新生儿
早产儿
小于胎龄儿
低血糖
neonate
premature infant
SGAs (small for gestational age infant )
hypoglycemia.
