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作者对低出生体重新生婴儿的低钙血症与动脉导管开放之间的关系提出一些看法。所搜集的材料自1976年元旦始至1978年4月30日止。动脉导管未闭由临床作出诊断,并再划分为二组:A组通过限制液体、给或不给速尿和洋地黄处理而成功;B组较严重,除了上述治疗外需要用消炎痛促使导管关闭。对照组婴儿以计算机选择在胎龄、出生体重和早期呼吸窘迫类型方面与动脉导管开放组婴儿相配对。以总血清钙值≤6.0mg%为低血钙。在28个月观察期间,有927例婴儿入院。其中27例有动脉导管开放(仅1例因其病历中缺乏钙值测定记录,予以排除)。对照组中8例有低钙血症,发生率
The authors present some observations on the relationship between hypocalcemia in low birth-weight infants and the opening of the patent ductus arteriosus. Materials collected from the New Year’s Day 1976 until April 30, 1978 only. Patent ductus arteriosus was clinically diagnosed and was subdivided into two groups: Group A was successful by restricting the administration of fluids to and without furosemide and digitalis treatment; Group B was more severe and required indomethacin to induce catheter closure in addition to the above treatment . Control infants were paired with ductus arteriosus infants on a computerized basis in terms of gestational age, birth weight, and early respiratory distress. The total serum calcium value ≤ 6.0mg% hypocalcemia. During the 28-month observation period, 927 infants were admitted. Of these, 27 had patent ductus arteriosus open (only one was excluded because of a lack of calcium values in the medical records). 8 cases in the control group had hypocalcemia, the incidence