Salle B L, Delvin E, Glorieux F, David L
Department of Neonatology, Edouard Herriot Hospital, Lyon, France.
Biol Neonate. 1990;58 Suppl 1:22-31. doi: 10.1159/000243297.
Hypocalcemia is commonly observed in the neonatal period and is usually transient from a few days to a few weeks. On only rare occasions is neonatal hypocalcemia permanent and secondary to congenital hypoparathyroidism caused by either isolated absence of parathyroid glands or in association with other malformations. Most cases of neonatal hypocalcemia fall into one of two clinical categories. Namely early neonatal hypocalcemia occurs in 24-48 h of life and it is usually observed in premature infants or infants of diabetic mothers. Late neonatal hypocalcemia is observed at the end of the first week of life. In addition of these two major categories, neonatal hypocalcemia may occur in association with hypomagnesemia.
低钙血症在新生儿期较为常见,通常在几天到几周内为短暂性。新生儿低钙血症仅在极少数情况下是永久性的,继发于甲状旁腺孤立缺失或与其他畸形相关的先天性甲状旁腺功能减退。大多数新生儿低钙血症病例属于两种临床类型之一。即早期新生儿低钙血症发生在出生后24 - 48小时,通常见于早产儿或糖尿病母亲的婴儿。晚期新生儿低钙血症在出生后第一周结束时出现。除了这两大类型外,新生儿低钙血症可能与低镁血症相关。