Neonatal Netw. 2022 May 1;41(3):137-144. doi: 10.1891/11-T-759.
Maintenance of electrolyte balance in the neonate is a challenge in the context of illness or prematurity. Neonatal providers' approach to fluid management changes and adapts based on the newborn's age, maintenance needs, deficits, and ongoing losses. Understanding the total body water content of the fetus and newborn is foundational to management of electrolyte disturbances. This article reviews common imbalances of sodium and chloride, identifies causes of imbalances, and discusses current evidence-based treatment options.
维持新生儿的电解质平衡是疾病或早产背景下的一个挑战。新生儿提供者的液体管理方法会根据新生儿的年龄、维持需求、不足和持续损失而改变和适应。了解胎儿和新生儿的总体水含量是管理电解质紊乱的基础。本文回顾了钠和氯的常见失衡,确定了失衡的原因,并讨论了当前基于证据的治疗选择。