【摘要】 目的探讨早产儿晚期"屏气发作"的原因及干预措施。方法按照《早产儿管理指南》对本院新生儿科2006年6月-2009年6月出院后2~4周的早产儿进行了随访,并记录出生时一般情况、随访时日龄、日期(季节)、喂养方式和出院后的疾病征象等;采用雷度ABL800血气分析仪测定微量血Ca2+、K+、Na+。结果早产儿晚期"屏气发作"的原因与"低离子钙血症"相关,补充钙剂和维生素AD可缓解症状。结论 "屏气发作"有可能是"低钙惊厥"的特殊表现形式,是早产儿晚期常见的疾病征象;目睹其发作过程,可能存有"低氧血症"而加重已有脑损伤的早产儿病情;屏气发作导致睡眠障碍不仅继续影响、干扰其生长发育,且引起儿童时期各系统疾病,导致早产儿不良结局。更多还原

【Abstract】 Objective To study the undesirable consequences and intervention measures of breath holding spell in later period of the premature neonatals. Methods All the premature neonatals hospitalized in Hubei Maternal and Child Health Hospital from June,2006 to June,2009 were followed up 2～4 weeks after hospital discharge.The general state of health,age,date(season),feeding-patterns and clinical symptoms of the premature neonatals were recorded.Clinical analysis of electrolytes change of breath holding spell was also performed. Results The causation of breath holding spell in later period of the premature neonatals was interrelated with hypocalcemia.It was effective to supplement calcium and vitamin AD to relief the symptoms. Conclusions As a particular manifestation of hypocalcemia,breath holding spell is a common symptom in later period of the premature neonatals.So far as what we witness,it is likely that hypoxemia aggravates the illness of the premature neonatal that has a brain injury.As a result of breath holding spell,sleeping disturbance not only affects and interferes with the growth and development of the patients,but also leads to the systematic diseases during the child-period, which results in undesirable ending of the premature neonatal.更多还原