Chestnut D H, Bates J N, Choi W W
J Reprod Med. 1987 Mar;32(3):191-3.
Capillary blood glucose concentrations were determined before and after intravenous infusion of 20 mL/kg of Ringer's lactate (RL) in 35 women scheduled for elective cesarean section. Mean (+/- SD) capillary blood glucose concentrations before and after infusion of RL were 84.7 +/- 13.2 and 89.0 +/- 16.5 mg/dL, respectively (P = NS). No parturient had a glucose level less than 60 mg/dL before or after infusion of RL. There were no instances of neonatal hypoglycemia. We conclude that large volumes of RL without dextrose may be rapidly infused into healthy pregnant women undergoing elective cesarean section without risk of dilutional hypoglycemia in the mother or neonate.
对35名计划行择期剖宫产的女性,在静脉输注20 mL/kg乳酸林格氏液(RL)之前和之后测定毛细血管血糖浓度。输注RL之前和之后的平均(±标准差)毛细血管血糖浓度分别为84.7±13.2和89.0±16.5 mg/dL(P=无显著性差异)。输注RL之前或之后,没有产妇的血糖水平低于60 mg/dL。没有新生儿低血糖的情况发生。我们得出结论,对于接受择期剖宫产的健康孕妇,可以快速输注大量不含葡萄糖的RL,而不会有母亲或新生儿发生稀释性低血糖的风险。