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目的 探讨新生儿中、重度缺血缺氧性脑病 (HIE)血钙的变化。方法 选用 35例确诊为中、重度HIE的患儿 ,分别于治疗前后测量血钙 ,治疗过程中所有HIE患儿均未补充钙剂。结果 35例患儿治疗前血钙均降低 ,范围在 1.5 6～ 1.98mmol·L- 1 ,平均 1.6 9± 0 .2 1mmol·L- 1 。治疗后 ,血钙浓度均较前上升 ,范围在 2 .2 2～ 2 .5 6mmol·L- 1 ,平均 2 .44± 0 .32mmol·L- 1 。结论 中、重度HIE患儿其血钙可随病情恢复而基本恢复 ,不一定必须补充钙剂。
Objective To investigate the changes of serum calcium in neonates with moderate and severe hypoxic-ischemic encephalopathy (HIE). Methods 35 children diagnosed as moderate and severe HIE were enrolled in this study. Blood calcium was measured before and after treatment, and all children with HIE were not given calcium during the treatment. Results 35 cases of children before treatment, serum calcium decreased in the range of 1.56 ~ 1.98mmol · L-1, with an average of 1.6 9 ± 0.21mmol·L-1. After treatment, serum calcium levels increased compared with the previous range, ranging from 2.22 to 2.56 mmol·L-1, with an average of 2.44 ± 0.32 mmol·L-1. Conclusions The serum calcium of moderate and severe HIE children can recover with the recovery of the disease and does not necessarily have to be supplemented with calcium.