新生儿缺氧缺血性脑病低游离钙血症的临床对策与转归

The Interference and Prognosis on Hypocalcemia in Newborn with Hypoxic-ischemic Encephalopathy

目的探讨不同程度新生儿缺氧缺血性脑病时血游离钙水平及补充钙剂后的临床转归。方法对血游离钙≤0.9 mmol/L的患儿补充钙剂治疗3 d,观察血游离钙水平和临床状况。结果治疗后患儿血游离钙水平上升,临床抽搐症状减少或消失。结论新生儿缺氧缺血性脑病时病情越重,血游离钙水平越低,补充钙剂有助于缓解临床抽搐症状,稳定病情,从而有助于改善患儿的近期疗效,降低病死率。

Objective To study the level of isolate - Caleinm and the prognosis after calcium supplement in neonatal hypoxic ischemie eneephalopathy （HIE）. Method Calcium was supplied for three days in group with isolate - calciums〈0.9 mmol/L, and levels of plasma calcium and clinical condition were observed. Results After therapy, the patients got increased plasma isolate - calcium and reduced seizure. Conclusion The mere servious HIE, the lower level of plasma isolate calcium. Calcium supplement is helpful to relax dinical seizure and to improve the clinical conditions as well as mortality.