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新生儿晚期代谢性酸中毒是指在生后2至4周有生长发育缓慢或停滞,同时伴嗜睡、厌食等症状,血气分析发现代谢性酸中毒,而这些不能用感染等原因来解释。常常发生于低出生体重儿和/或人工喂养儿。本病文献报道较少,现将所遇3例报告如下:临床资料【例1】男,孕33~(+(?))周出生,出生体重1.8kg,顺产,母孕期无特殊疾病史。小儿生后人工喂养,14天后,在奶量充足的情况下,出现体重增长迟缓,持续约1周余,患儿一般情况好,体温正常,血象 WBC 10.4×10~9/L、中性粒细胞49%、淋巴细胞51%,血气分析 pH 7.360,剩余碱(BE)
Late neonatal metabolic acidosis refers to 2 to 4 weeks after birth, growth and development of slow or stagnation, accompanied by lethargy, anorexia and other symptoms, blood gas analysis found that metabolic acidosis, and these can not be explained by reasons such as infection. Often occurs in low birth weight infants and / or artificial feeding children. The literature of the disease reported less, now the case of 3 cases are reported as follows: Clinical data [Example 1] Male and pregnant 33 ~ (+ (?)) Weeks of birth, birth weight 1.8kg, birth, no specific disease during pregnancy. Artificial feeding of children after birth, 14 days later, in the case of adequate milk, weight growth retardation, lasted for about 1 week, children generally good, normal body temperature, blood WBC 10.4 × 10 ~ 9 / L, neutral 49% of cells, 51% of lymphocytes, blood gas analysis pH 7.360, residual base (BE)