Payne K, Ireland P
Anaesthesia. 1984 Sep;39(9):868-72. doi: 10.1111/j.1365-2044.1984.tb06572.x.
Peri-operative plasma glucose levels were studied in one hundred children under 5 years of age and under 20 kg. All underwent procedures of less than 30 minutes. Of 32 cases under the third percentile for weight, ten developed low plasma glucose during the pre-operative and/or postoperative phase. This occurred despite receiving 5% dextrose by mouth 4 hours before induction. Even in children of normal weight there was a low incidence of peri-operative hypoglycaemia. Routine intravenous glucose-containing fluids are thus recommended during the peri-operative period.
对100名5岁以下、体重不足20千克的儿童进行了围手术期血糖水平研究。所有儿童均接受了时长不足30分钟的手术。在体重处于第三百分位数以下的32例患儿中，有10例在术前和/或术后出现低血糖。尽管在诱导前4小时口服了5%葡萄糖，这种情况仍有发生。即使是体重正常的儿童，围手术期低血糖的发生率也较低。因此，建议在围手术期常规使用含葡萄糖的静脉输液。
