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目的探讨新生儿低血糖发生的高危因素及临床特点,为临床诊治及预防提供依据。方法对我院检测出的136例新生儿低血糖患儿的临床资料进行分析。结果 136例低血糖患者中早产儿26例(19.1%),小于胎龄儿20例(14.7%),围生期窒息儿36例(26.5%),感染18例(13.2%),硬肿症6例(4.1%),黄疸4例(2.9%),喂养困难4例(2.9%),母亲患糖尿病14例(10.3%),母亲患妊娠高血压综合征8例(5.9%),而临床症状并不典型。结论对存在各种低血糖高危因素的新生儿均应常规监测血糖水平,及早诊治,避免或减少低血糖引起的脑损伤。
Objective To investigate the risk factors and clinical features of neonatal hypoglycemia and provide evidence for clinical diagnosis and treatment. Methods The clinical data of 136 neonates with hypoglycemia detected in our hospital were analyzed. Results Among 136 hypoglycemic patients, 26 (19.1%) were premature children, 20 (14.7%) were less than gestational age, 36 (26.5%) were perinatal asphyxia, 18 (13.2% 6 (4.1%), jaundice in 4 (2.9%), feeding difficulties in 4 (2.9%), maternal diabetes in 14 (10.3%) and maternal hypertensive pregnancy induced hypertension in 8 (5.9% Symptoms are not typical. Conclusion Newborns with various risk factors of hypoglycemia should routinely monitor blood glucose level and diagnose them early to avoid or reduce brain damage caused by hypoglycemia.