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儿童麻醉期间的血糖浓度。禁食和围手术期液体治疗的影响。

Blood-glucose concentrations during anaesthesia in children. Effects of starvation and perioperative fluid therapy.

作者信息

Nilsson K, Larsson L E, Andréasson S, Ekström-Jodal B

出版信息

Br J Anaesth. 1984 Apr;56(4):375-9. doi: 10.1093/bja/56.4.375.

DOI:10.1093/bja/56.4.375
PMID:6712852
Abstract

Blood glucose concentration, pH and standard bicarbonate concentration were measured in 70 anaesthetized children aged between 2 weeks and 22 months before and following surgery. The duration of starvation varied between 4 and 14 h (mean 5.8 h). The lowest blood-glucose concentration before operation was 2.9 mmol litre-1 (53 mg dl-1). Preoperative blood-glucose concentrations were not influenced by the age or weight of the child, or the duration of starvation. During operation the children received either a balanced Ringer acetate solution (group A) or a Ringer glucose solution containing 2.5% glucose (group B). In these patients the preoperative starvation did not result in hypoglycaemia and, during surgery, increases in blood-glucose concentration were found even in those children receiving a glucose-free fluid regimen.

摘要

在70名年龄介于2周和22个月的麻醉儿童手术前后测量了血糖浓度、pH值和标准碳酸氢盐浓度。禁食时间在4至14小时之间(平均5.8小时)。术前最低血糖浓度为2.9毫摩尔/升(53毫克/分升)。术前血糖浓度不受儿童年龄、体重或禁食时间的影响。手术期间,儿童接受平衡的醋酸林格液(A组)或含2.5%葡萄糖的林格葡萄糖液(B组)。在这些患者中,术前禁食未导致低血糖,并且在手术期间,即使是接受无葡萄糖液体治疗方案的儿童,血糖浓度也出现了升高。

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