新生儿低血糖的管理策略
Management strategies for neonatal hypoglycemia.
作者信息
Sweet Courtney B, Grayson Stephanie, Polak Mark
机构信息
Department of Pharmaceutical Services, West Virginia University Hospitals, Morgantown, West Virginia.
出版信息
J Pediatr Pharmacol Ther. 2013 Jul;18(3):199-208. doi: 10.5863/1551-6776-18.3.199.
Abstract
While hypoglycemia occurs commonly among neonates, treatment can be challenging if hypoglycemia persists beyond the first few days of life. This review discusses the available treatment options for both transient and persistent neonatal hypoglycemia. These treatment options include dextrose infusions, glucagon, glucocorticoids, diazoxide, octreotide, and nifedipine. A stepwise, practical approach to the management of these patients is offered.
摘要
虽然低血糖在新生儿中很常见，但如果低血糖在出生后的头几天之后仍然持续，治疗可能具有挑战性。本综述讨论了短暂性和持续性新生儿低血糖的可用治疗选择。这些治疗选择包括葡萄糖输注、胰高血糖素、糖皮质激素、二氮嗪、奥曲肽和硝苯地平。本文提供了一种针对这些患者的逐步实用的管理方法。
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