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目的 :探讨换血术治疗高胆红素血症 (高胆 )时对婴儿电解质代谢、糖代谢及血气酸碱平衡的影响。方法 :检测2 8例次换血前后血电解质、血糖及血气并进行分析比较。结果 :换血后未发生高钾血症 ,却出现 11例次 (占 39.3% )低钾血症。低钙血症有 9例次 ,但其中 5例次原先已有低血钙 ,14例次在换血后血钙不降反而有所增加 (占 5 0 % ) ,其中 2例发生高钙血症。有 2 2例次血清钠有不同程度的升高 (占 78.6 % ) ,但发生高钠血症只有 3例 ,换血后出现低血糖 3例 (占 10 .7% ) ,但也有 3例由原先血糖正常转为高血糖 ,经统计学比较换血前后 pH值、PaCO2 、HCO3 -,无明显差异。结论 :本组换血病例提示 :如果供为较新鲜ACD血 (2 4小时内 ) ,换血可能导致低钾血症 ,常规补钙时应注意血钙升高而致心律减慢 ,换血可普遍导致血钠有所升高 ,但不易致高钠血症 ,造成糖代谢紊乱是双向性的 ,一般情况下较少发生酸中毒。
Objective: To investigate the effects of transplanting blood transfusion on hyperbilirubinemia (hypercholesterolemia) on electrolyte metabolism, glucose metabolism and acid-base balance in infants. Methods: Blood electrolytes, blood glucose and blood gas were measured before and after 28 cases of transfusions and analyzed. Results: There was 11 cases (39.3%) of hypokalemia without exchange of hyperkalemia. Hypocalcemia in 9 cases, but of which 5 times the original hypocalcemia had been 14 cases of transfusion in the blood calcium does not fall but increased (50%), of which 2 cases of hypercalcemia . There were 22 cases of serum sodium increased to varying degrees (78.6%), but only 3 cases of hypernatremia, hypoglycemia after transfusions in 3 cases (10.7%), but there are 3 cases from the original Normal blood glucose into hyperglycemia, the statistical comparison before and after transfusions pH, PaCO2, HCO3 -, no significant difference. Conclusion: This group of transfusions cases suggest: If the supply of fresh ACD blood (24 hours), transfusion may lead to hypokalemia, calcium should pay attention to the regular increase in serum calcium caused by slow heart rate, transfusion can generally lead to Blood sodium has increased, but not easy to cause hypernatremia, resulting in glucose metabolism disorders are two-way, under normal circumstances less acidosis.