Turbeville D F, Bowen F W, Killam A P
J Pediatr. 1976 Aug;89(2):294-7. doi: 10.1016/s0022-3476(76)80471-4.
Although CNS hemorrhages have long been observed in infants with hyaline membrane disease, the etiology of these hemorrhages is still unknown. Two proposed etiologies are hypoxia with acidosis and iatrogenic hypernatremia secondary to sodium bicarbonate therapy. An experiment on kittens comparing these two hypotheses suggested that intracranial hemorrhages were related only to elevated serum sodium concentrations. The CNS hemorrhages were independent of experimentally induced hypoxemia and its consequent acidosis.
尽管长期以来在患有透明膜病的婴儿中观察到中枢神经系统出血,但这些出血的病因仍不清楚。两种提出的病因是伴有酸中毒的缺氧和碳酸氢钠治疗继发的医源性高钠血症。一项在小猫身上比较这两种假说的实验表明,颅内出血仅与血清钠浓度升高有关。中枢神经系统出血与实验诱导的低氧血症及其导致的酸中毒无关。