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目的探讨早产儿晚期“屏气发作”的原因及干预措施。方法按照《早产儿管理指南》对本院新生儿科2006年6月-2009年6月出院后2~4周的早产儿进行了随访,并记录出生时一般情况、随访时日龄、日期(季节)、喂养方式和出院后的疾病征象等;采用雷度ABL800血气分析仪测定微量血Ca2+、K+、Na+。结果早产儿晚期“屏气发作”的原因与“低离子钙血症”相关,补充钙剂和维生素AD可缓解症状。结论 “屏气发作”有可能是“低钙惊厥”的特殊表现形式,是早产儿晚期常见的疾病征象;目睹其发作过程,可能存有“低氧血症”而加重已有脑损伤的早产儿病情;屏气发作导致睡眠障碍不仅继续影响、干扰其生长发育,且引起儿童时期各系统疾病,导致早产儿不良结局。
Objective To explore the causes and interventions of late stage “breath-hold” in preterm infants. Methods According to Guide for Management of Premature Infants, the prenatal period of 2 to 4 weeks after discharge from June 2006 to June 2009 in our hospital was followed up. The general conditions of birth, age, date of follow-up (season ), Feeding patterns and signs of disease after discharge; using Rayleigh ABL800 blood gas analyzer to measure trace amounts of Ca2 +, K +, Na +. The results of late stage of preterm infants, “breathless” causes and “low ionocalcosis” related to calcium supplements and vitamin AD can alleviate the symptoms. Conclusions “breath-hold attack ” may be a special manifestation of “calcium convulsion ”, which is a common disease sign in the late stage of preterm infants; witnessing the process of attack, there may be “hypoxemia” Premature infants with brain injury condition; breathlessness caused by breathless attacks not only continue to interfere with their growth and development, and lead to various diseases in childhood, leading to adverse outcomes in premature children.