【摘要】 本文报道1,060例住院新生儿酸碱平衡紊乱的类型分析。除165例(占15.6%)为正常外,其余病例均见有明显的酸碱平衡紊乱,其中以代谢性酸中毒为最多见,尤多见于早产儿中。呼吸性酸碱紊乱亦常见到,加上新生儿时期易有产生代谢性酸中毒的特点,所以混合性(代谢性和呼吸性)酸中毒较为多见,尤其在高危新生儿中,混合性酸中毒常提示病情危重,病儿有呼吸衰竭表现。此外,代谢性碱中毒合并呼吸性酸中毒是一种需加注意的酸碱平衡紊乱类型.更多还原

【Abstract】 This article reports the analysis of acid-base disturbances in 1,060 sick newborns ad- mitted from November 1979 to July 1984.Among them 165 cases(15.6%)were foundnormal,while the other 895 showed significant acid-base disturbance.Most of them wereof metabolic acidosis,especially the prematures.However,respiratory acid-base disordersare also commonly encountered in newborns due to the underdevelopment of respiratorycenter,etc.Newborns are likely to develop metabolic acidosis,thus combined acidosis(metabolic and respiratory acidosis)is usually seen,especially in high risk neonates;itmay indicate the presence of respiratory failure.In addition,it may be noticed that me-tabolic alkalosis plus respiratory acidosis is a specific type of acid-base disorder in new-borns.更多还原