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[患有糖尿病胎儿病的新生儿心律失常中的心脏肥大]

[Cardiomegaly in heart rhythm disorder in a newborn infant with diabetic fetopathy].

作者信息

Kohlhoff R

出版信息

Zentralbl Gynakol. 1983;105(21):1388-93.

PMID:6229111
Abstract

Report on a newborn with diabetic fetopathia and a temporary 4 : 1 bloc probably due to abnormal storage of glycogen within the heart muscle cells within a visceromegaly. The symptoms disappeared after 12 hours, the visceromegaly (heart, liver) within 7 days. The suspicion of a vitium cordis congenitum could not be confirmed in the first two years of life in repeated examinations. In the first day of life there was a reactive hyperinsulinemia and deviations of the blood glucose level between 10.5 and 1.38 mmol/l. The volume of urine had a tendency to subnormal. There was a slight edema, but no polyuria, which is to been in diabetic fetopathia of the newborn caused by increased excretion of water from storage tissues.

摘要

关于一名患有糖尿病胎儿病及可能因心肌细胞内糖原异常储存导致内脏肿大而出现临时4:1阻滞的新生儿的报告。症状在12小时后消失,内脏肿大(心脏、肝脏)在7天内消失。在生命的头两年进行的多次检查中,先天性心脏病的怀疑未得到证实。出生第一天出现反应性高胰岛素血症,血糖水平在10.5至1.38 mmol/l之间波动。尿量有低于正常的趋势。有轻微水肿,但无多尿,而在因储存组织水分排泄增加导致的新生儿糖尿病胎儿病中会出现多尿。

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