新生儿重度窒息后电解质紊乱的动态观察

DYNAMIC STUDY ON DISORDERLY ELECTROLYTE OF NEONATE WITH SERIOUS ASPHYXIA

摘要: 作者对32侧重度窒息新生儿1周内电解质的动态变化进行了观察，结果发现Na＋、Cl－在生后1天呈低值的情况下至第3天仍呈下降趋势，直至1周时方接近正常值。Ca2＋由初生时的低值逐渐升高到1周时达正常值范围。K＋、Mg2＋则无明显变化。本组中有6例严重低钠、低氛的患儿早期给予适当补充Na＋，结果发现对于其减低趋势无明显影响。

Abstract: This thesis surveyed the dynamic change of thirty-two neonates with serious asphyxiain electrolyte disorder. The result showed that the serum Na+,cl- level had still been presenting a fallingtendency during 1 -3 days of age under normal level and then to reach its peak until the first week of agethe serum Na+,cl- level was close to normal level value. Because the hyponatrenia caused by serious as-phyxia was of dilution and the total number of sodium was not reduced,to limit water should be taken butn0t positive to supply Na+. The level of serum Ca2+ was gradually increased from low in birthborn to nor-mal level during the first week 0f age. Significant change of serum K+,Mg2+ level had not been found.Though proper supply Na+,Cl- to 6 out of 32 patients with obvious low serum sodium and chlorine,signif-icant effect could not be discovered.