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目的:探讨发生新生儿低血糖的高危因素、临床特点,为预防和治疗低血糖提供依据。方法:常规检测所有住院新生儿的微量血糖,对检测有异常者同时化验静脉血糖,并在治疗过程中持续监测,直至血糖恢复正常及稳定。结果:483例住院新生儿中,有86例存在低血糖,其临床症状无特异性。低血糖好发于小于胎龄儿、早产儿、新生儿窒息、糖尿病母亲婴儿等。结论:对于存在低血糖高危因素的新生儿,应及时监测血糖,并及早供糖,避免出现低血糖脑损伤。
Objective: To explore the risk factors of neonatal hypoglycemia, clinical features, to provide the basis for the prevention and treatment of hypoglycemia. Methods: The routine examination of all in-hospital newborns trace blood glucose, abnormalities were detected at the same time test for venous blood glucose, and continued monitoring during treatment until blood glucose returned to normal and stable. Results: Of the 483 hospitalized newborns, 86 had hypoglycemia and their clinical symptoms were nonspecific. Hypoglycemia occurs in less than gestational age children, premature children, neonatal asphyxia, diabetic mothers and infants. Conclusion: For newborns with high risk of hypoglycemia, blood glucose should be monitored promptly and sugar should be given as early as possible to avoid hypoglycemic brain injury.