【摘要】 <正> 近20余年来,在抢救病理新生儿,预防低体重儿发病的临床工作中,静脉葡萄糖输液以防止低血糖已有广泛的研究和应用,也有报告葡萄糖的输入速度与高血糖的发更多还原

【Abstract】 28 patients was studied including full term,preterm and SGA full term infantsin order to find the relationship between 10% glucose infusion rate and blood glucosevalue in newborn infants.There is a positive correlation between them r=0.8.Theassociation of hyperglycemia(Blood glucose value>150mg/dl)was noticed in 4/14 inlow birth weight infants(BW<2500gm)at the rate of 7ml/kg/h,and 5/14 in full terminfants at the rate of 10ml/kg/h.Therefore,it was suggested that it is necessary to keepthe infusion rate within the limit stated above.When infusion rate was increased gra-dually,the glucose tolerance would be better,So that intravenous glucose infusionshould be at a lower rate at the begining of infusion and then increased.Further-more,preterm babies,hypothermic babies,newborn within two days of life and babiesin critical state are less tolerant to exogenous glucose and predisposes to hyperglyce-mia.Therefore,a lower infusion rate is necessary,i.e.5ml/kg/h for fullterm babyand 3ml/kg/h for LBW baby.更多还原