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目的探讨早产儿呼吸窘迫征与电解质改变的关系。方法2004年1月～2006年1月我院儿科住院的患儿,分为早产儿及呼吸窘迫征患儿两组,出生后12h内做血清电解质测定和临床结果分析。结果两组均有低钠血症发生,比较无显著差异性,P>0.05,而新生儿呼吸窘迫综合征组血钾高于早产儿组,差异有显著性,P<0.05,血钙比较差异更有显著性,P>0.01,血氯比较差异有显著性,P<0.05,但血氯的平均值都在正常范围。结论早产儿呼吸窘迫征可导致低钠血症、低钙血症与高血钾症。
Objective To investigate the relationship between respiratory distress and electrolyte changes in preterm infants. Methods From January 2004 to January 2006, children hospitalized in our pediatric department were divided into two groups: premature infants and children with respiratory distress. Serum electrolytes and clinical results were analyzed within 12 hours after birth. Results Hyponatremia occurred in both groups, with no significant difference (P> 0.05). However, the serum potassium of neonatal respiratory distress syndrome group was higher than that of premature infant group, the difference was significant (P <0.05) More significant, P> 0.01, blood chlorine was significantly different, P <0.05, but the mean blood chlorine in the normal range. Conclusion Respiratory distress syndrome in preterm infants may lead to hyponatremia, hypocalcemia and hyperkalemia.