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近10年来,对妊娠合并糖尿病的处理有所改进,使糖尿病母亲的婴儿(Infant of diabetic mother,简称IDM)的死亡率和发病率下降。但对新生儿低血糖、低血钙等的处理仍不十分满意,高胆红素血症、红细胞增多症虽较常见,但尚不至于危及生命,虽肾静脉血栓形成或并不常见,然其预后甚差。对IDM的窒息、呼吸窘迫综合征、巨大儿和心肌病等可通过对孕妇的血糖控制得以预防。IDM的先天性畸形发生率较高,是尚未解决的问题。
The past decade has seen an improvement in the management of diabetes mellitus during pregnancy, leading to a decrease in the mortality and morbidity of Infant of diabetic mothers (IDMs). However, neonatal hypoglycemia, hypocalcemia and other treatment is still not very satisfied, hyperbilirubinemia, polycythemia is more common, but not yet life-threatening, although the formation of renal vein thrombosis is not uncommon, however Its prognosis is poor. Asphyxia of IDM, respiratory distress syndrome, macrosomia and cardiomyopathy can be prevented by glycemic control of pregnant women. IDM high incidence of congenital malformations is an unsolved problem.