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新生儿期甘油的吸收与代谢。I. 不同胎龄新生儿及较大婴儿持续静脉输注甘油期间的甘油周转速度

[Absorption and metabolism of glycerin in the neonatal period. I. Speed of turnover of glycerin during continuous intravenous infusions in newborn infants of various gestational ages and in older infants].

作者信息

Reich J, Beyreiss K, Scheerschmidt G, Willgerodt H, Melichar V

出版信息

Acta Biol Med Ger. 1977;36(9):1289-98.

PMID:96642
Abstract

Glycerol was infused intravenously over 2 hours in preterm and term appropriate-for-date and in term small-for-date infants at the age of 12 to 72 hours and 10 to 14 days and in infants at the age of 3 to 8 months. The dosage was 0.25.kg-1.h-1 and 0.5.kg-1.h-1, respectively. Less than 6 per cent of the glycerol injused were recovered in the urine irrespective of the dosage. The total clearance was 9.1 to 14.6 ml.kg-1. min-1 during the first weeks of life with 0.25 g.kg-1.h-1 glycerol irrespective of gestational age and intra-uterine growth retardation; and it rose to 31.8 ml.kg-1.min-1 in older infants. With 0.5.kg-1.h-1 glycerol the total clearance values were lower in all groups. The glucose blood level and the blood lactate concentration as well as the parameters of the acid-base-balance were not significantly influenced by glycerol.

摘要

在12至72小时、10至14天的早产和足月适于胎龄儿以及3至8个月的婴儿中,甘油在2小时内静脉输注。在早产小于胎龄儿和足月小于胎龄儿中,分别以0.25kg-1.h-1和0.5kg-1.h-1的剂量输注。无论剂量如何,尿液中回收的注入甘油少于6%。在出生后的第一周,无论胎龄和宫内生长迟缓情况如何,给予0.25g.kg-1.h-1甘油时,总清除率为9.1至14.6ml.kg-1.min-1;在较大婴儿中,总清除率升至31.8ml.kg-1.min-1。给予0.5kg-1.h-1甘油时,所有组的总清除率值均较低。甘油对血糖水平、血乳酸浓度以及酸碱平衡参数没有显著影响。

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