新生儿低钠血症48例病因及治疗分析  

The aetiology and treatment of 48 cases with neonatal hyponatremia

作　　者：陈志凤[1] 丁月琴[1] 梁斐[1] 李锐钦[1] 

机构地区：[1]广东省东莞市人民医院新生儿科,523000

出　　处：《中国综合临床》2012年第1期109-110,共2页Clinical Medicine of China

摘　　要：目的探讨新生儿低钠血症的常见病因及治疗原则。方法回顾性分析我院新生儿科2006年6月至2010年1月收治的48例低钠血症新生儿的临床资料。结果反应低下（37．5％，18／48）、纳差（31．3％，15／48）是低钠血症的主要表现。常见原因分别有围产期缺氧性疾病、喂养不当、疾病影响、早产因素等。经积极对因处理后，除1例早产儿因严重呼吸窘迫综合征死亡外，余47例3d内血清钠恢复正常。结论新生儿低钠血症无特异性表现。病因复杂，需区分病因治疗。临床应重视喂养等病史的询问和基础疾病的治疗，早期监测血清钠浓度，及时纠正，以提高治疗成功率，减少后遗症发生。Objective To study the common aetiology and the principle of treatment of neonatal hyponatremia. Methods The clinical data of 48 neonatal hyponatremia cases, admitted to our hospital from June 2006 to January 2010, were analyzed retrospectively. Results The main manifestations of neonatal hyponatremia were poor response （37. 5% ） and anorexia （31.3%）. The common causes included anoxic diseases during perinatal period,improper feeding, effects of specific diseases, premature birth et al. After active treatment,the serum sodium returned to normal in 47 neonate within three days,except for 1 premature infants died of serious respiratory distresssyndrome. Conclusion Neonatal hyponatremia shows no special clinical manifestation. The aetiologies are complicated, which should be treated in different methods correspondingly. The inquiry of feeding history, the treatment of primary illness, the early detection of sernm sodium levels and timely correction of the serum sodium levels are very important to improve the successful rate and reduce sequela.

关 键 词：低钠血症 ÷生儿 

分 类 号：R722.1[医药卫生—儿科]