新生儿低血糖的诊断与治疗

Diagnosis and treatment of neonatal hypoglycemia

新生儿低血糖是一种常见的临床代谢问题。对新生儿低血糖的定义和临床管理一直存在较多争议。主要有三方面的原因:出生后新生儿血糖水平存在生理性下降和恢复的过程;存在无症状性低血糖新生儿;以及血糖水平与神经系统远期预后的关系尚未明了。文章就有关新生儿低血糖的病因、定义和临床管理等内容做一介绍。

Neonatal hypoglycemia is a common metabolic problem.The definition and clinical management of neonatal hypoglycemia remains controversial.The concerned reasons are mainly as follows： the course of a physiological decrease and recovery in the level of blood glucose is usually existed in newborn infants after birth;asymptomatic hypo- glycemia （many newborn infants＇ blood glucose level is very low but without any clinical signs or symptoms）;and the lack of the complete comprehension for the relationship between neonatal hypoglycemia and the long-term neurologic prognosis.The review describes the etiology,definition and clinical management of hypoglycemia in newborn infants.