摘要
本文报道我院1979年12月至1981年1月对37例新生儿窒息患儿以液体治疗,第一天补液总量70ml/kg/d,第二天90ml/kg/d,第三天110ml/kg/d,这三天钠离子补充量各为3.8、2.3和2.5mEq/kg/d,钾离子各为0、0.6和2.1mEq/kg/d,代谢性酸中毒用5%碳酸氢钠治疗。37例治疗后体重平均减轻0.01kg,主要由于进入总热能较低。血电解质和酸碱度均恢复正常。结果表明本治疗方法行之有效。34例曾作血糖测定,19例正常,11例偏高,2例偏低,血糖高者都在刚出生后接受过高浓度葡萄糖液静脉注射。因此急救新生儿窒息要事先测血糖,低者方可静脉注射葡萄糖液。
Thirty-seven cases of asphyxia neonatorum treated with fluid therapy during Dec 1979 to Jan 1981 are reported.The average amount of iv fluid given on the 1st day after birth was about 70 ml/kg/d,the 2nd day 90 ml/kg/d and the 3rd day 110 ml/kg/d.The average amount of sodium ion given in these 3 days was 3.8,2.3 and 2.5 mEq/kg/d,and potassium ion 0,0.6 and 2.1 mEq/kg/d,respectively.Metabolic acidosis was treated by 5%sodium bicarbonate iv.Body weight,blood pH,PCO,BE,electrolytes and sugar were measured before and after treatment.The body weight of 37 cases decreased 0.01kg,and electrolytes and acid-base disturbance were converted to normal after treatment.In addition,34 cases had blood sugar determined before treatment(19 normal,11 hyperglycemia and 2 hypoglycemia).However,glucose had been given in the 11 cases with hyperglycemia.The authors,therefore,suggest that routine examination of blood sugar is necessary before glucose administration,as sugar is only indicated in cases of hypoglycemia.
出处
《上海医学》
CAS
1983年第7期401-404,共4页
Shanghai Medical Journal
