极低出生体重儿的酸碱失衡  

Acid-base disturbance in very low birth weight infants

作　　者：陈雨青[1] 

机构地区：[1]安徽省立儿童医院新生儿科,合肥230051

出　　处：《安徽医学》2006年第2期118-119,共2页Anhui Medical Journal

摘　　要：目的提高对极低出生体重儿(VLBWI)并发酸碱失衡的认识。方法对40例极低出生体重儿酸碱失衡类型进行分析。结果40例极低出生体重儿动脉血气中35例伴有6种类型的酸碱失衡,其中呼吸性酸中毒(呼酸)合并代谢性酸中毒(代酸)最常见,其它依次为呼酸、呼吸性碱中毒(呼碱)合并代酸、代酸、呼碱、呼酸合并代谢性碱中毒(代碱),代碱和代碱合并呼碱未见。结论极低出生体重儿本身极易发生呼酸和/或代酸,当有合并症和/或并发症时,更易加重酸碱失衡。Objective To study and analyze the acid- base disturbance among very low birth weight infants （VLBWI） in order to deepen and enlarge our understanding of such cases and their serious consequences. Methods The types of acid-base disturbance in 40 cases with very low birth weight were analyzed. Results There were 6 types of acid - base disturbance in 35 of 40 cases. They were respiratory acidosis plus metabolic acidosis, respiratory acidosis,respiratory alkalosis plus metabolic acidosis,metabolic aeidosis,respiratory alkalosis,and respiratory acidosis plus metabolic alkalosis, Conclusion Respiratory aci-dosis and/or metabolic acidosis may be primary disorder of infants with very low birth weight. And the acid - base disturbance might occur more easily with some complications.

关 键 词：极低出生体重儿 疾病 酸碱失衡 血气分析 

分 类 号：R722[医药卫生—儿科] R541.5[医药卫生—临床医学]