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[糖尿病母亲所生新生儿的护理]

[Care of neonates born to diabetic mothers].

作者信息

Danda Manfred

机构信息

Klinische Abteilung für Neonatologie, Universitätsklinik für Kinder- und Jugendheilkunde, Auenbruggerplatz 14, Graz, Austria.

出版信息

Gynakol Geburtshilfliche Rundsch. 2009;49(4):271-6. doi: 10.1159/000301087. Epub 2010 May 19.

Abstract

This article aims to describe the pathophysiology of glucose metabolism in newborns of mothers with diabetes in pregnancy, the clinical signs of diabetic fetopathy and hypoglycaemia of the newborn, clinical practical procedures of post-partum blood glucose measurement and definition of hypoglycaemia, as well as prophylaxis and treatment of postpartal hypoglycaemia. In studies, newborns have been described with possibly severe mental retardation in the first years of life after post-partum recurrent hypoglycaemia with or without symptoms. Therefore, it is indicated to measure blood glucose levels regularly on the first day of life. Finally a flowchart for the measurement of glucose and therapy in newborns is presented.

摘要

本文旨在描述妊娠期糖尿病母亲所生新生儿的葡萄糖代谢病理生理学、胎儿糖尿病病变及新生儿低血糖的临床体征、产后血糖测量及低血糖定义的临床实际操作,以及产后低血糖的预防和治疗。研究表明,产后反复出现低血糖(无论有无症状)的新生儿在出生后的头几年可能会出现严重智力发育迟缓。因此,建议在出生第一天定期测量血糖水平。最后给出了新生儿血糖测量及治疗的流程图。

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