新生儿低血糖临床分析

Clinical Analysis Of Neonatal Hypoglycemia

目的探讨新生儿低血糖症发生的病因与防治措施。方法对2008年住院的480例新生儿于人院时进行足跟微量血糖常规检查。结果查出低血糖121例，其中早产儿低出生体质量儿小于胎龄儿32例（26．4％），围产期窒息儿24例（19．8％），糖尿病母亲巨大儿14例（11．5％），感染败血症19例（15．7％），喂养困难22例（18．2％）。早产儿低出生体质量儿小于胎龄儿、围产期窒息儿、糖尿病母亲巨大儿、感染败血症、喂养困难等易引起低血糖，是低血糖的常见病因。结论对存在早产、低出生体重、巨大、窒息、感染、喂养困难等有低血糖危险因素的新生儿，均应常规监测血糖，尽早诊治，早哺乳、早喂糖水、补液、防治新生儿糖代谢紊乱，避免低血糖引起脑损伤。

Objective The neonatal of the study hypoglyceia cause of disease of the occurrence and prevention and cure measure. Methods To 2008 hospitalization of 480 case new born carry on heel little blood sugar normal regulations check while hospitalize. Results Look up low blood sugar 121 case,among them premature infant low birth weight son＇s being small be 32 case（26.4% ）at the foetus age son,round to produce a period asphyxiation son 24 case （19. 8 % ）, the mother of diabetes huge son be 14 case （11.5 % ） ,infection septi- cemia 19 case（ 15.7% ） ,feed to keep difficulty 22 case（ 18. 2% ）. Premature infant low birth weight the son be small at the foetus age son and round to produce a period asphyxiation son, diabetes of mother huge son, infection septicemia, feed to keep difficulty etc. easy cause low blood sugar, It is the familiar cause of disease of low blood sugar. Conclusion To the existence premature, low birth weight, huge, suffocate, infection, feed to keep difficulty etc. have low blood sugar dangerous factor of new born, All should normal regulations monitor blood sugar, As early as possible make a diagnosis and give treatment, Early breast feed, early feed sugar water,repair a liquid, Prevention and cure new born sugar metabolism mess, Avoid the low blood sugar cause a brain to hurt.