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新生儿晚期代谢性酸中毒(LMA)是一种与新生儿胎龄和喂养因素有密切关系的疾病,主要发生于牛乳喂养的早产儿。我科于1990年9月发生二例,报道如下。例1女,孕31周早产,双胎之大,顺产,出生体重1400g,人工喂养。于生后16天因吃奶不好2天入院。诊断早产儿极低体重儿新生儿肺炎?经抗生素等综合治疗,病情痊愈。入院后牛乳喂养,奶量递增,7天后奶量每日229～267ml/kg,热卡196～229Ca1/kg,蛋白质8～9.3g/kg。但体重增加缓慢,平均每日增长15g。血气分析:pH7.247,BE-11.7mEg/L、PO_283.9mmHg、PCO_233.9mmHg。SO_29.34％,诊断LMA。给予不规则碱性药物治疗,2
Late neonatal metabolic acidosis (LMA) is a newborn and gestational age and feeding factors are closely related to the disease, mainly occurs in milk fed premature children. Two cases occurred in our department in September 1990, which are reported below. Example 1 female, 31 weeks gestational premature birth, twins, births, birth weight 1400g, artificial feeding. 16 days after birth due to poor health 2 days admitted to hospital. Diagnosis of preterm children with very low birth weight infants neonatal pneumonia? Antibiotics and other comprehensive treatment, the condition recovered. After inpatient milk feeding, the amount of milk increased, after 7 days of milk daily 229 ~ 267ml / kg, heat card 196 ~ 229Ca1 / kg, protein 8 ~ 9.3g / kg. However, weight gain slow, the average daily increase of 15g. Blood gas analysis: pH7.247, BE-11.7mEg / L, PO_283.9mmHg, PCO_233.9mmHg. SO_29.34%, diagnosis of LMA. Given irregular alkaline medication, 2