Heinrichs C
Clinique Pédiatrique, Hôpital Universitaire des Enfants Reine Fabiola, Bruxelles.
Rev Med Brux. 1997 Oct;18(5):339-46.
In infants and children, the delicate equilibrium between glucose production and glucose utilization can easily be disrupted. This leads to hypoglycemia with the risk of brain damage. The symptoms of hypoglycemia are non specific, particularly in the infant and the young child. The definition, the pathophysiology and the different etiologies of hypoglycemia are discussed. An approach of the causes of the hypoglycemia is proposed, which depends crucially on concomitant determinations of some hormones such as insulin, cortisol and growth hormone, and metabolic factors such as ketotic bodies, at the time of hypoglycemia. Therapeutic aspects will also be briefly reviewed.
在婴幼儿中,葡萄糖生成与葡萄糖利用之间的微妙平衡很容易被打破。这会导致低血糖,并伴有脑损伤风险。低血糖的症状不具有特异性,在婴儿和幼儿中尤其如此。本文讨论了低血糖的定义、病理生理学和不同病因。提出了一种针对低血糖病因的方法,该方法在很大程度上取决于在低血糖发生时对某些激素(如胰岛素、皮质醇和生长激素)以及代谢因子(如酮体)的同步测定。治疗方面也将进行简要回顾。