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題名 | 靜脈注射葡萄糖對正常新生兒血鈣、磷、鎂及游離鈣的影響 |
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作者姓名(中文) | 劉文玉; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 28:2 民76.03-04 |
頁次 | 頁101-104 |
分類號 | 417.517 |
關鍵詞 | 正常; 血鈣; 注射; 游離; 鈣; 新生兒; 葡萄糖; 影響; 靜脈; 磷; 鎂; |
語文 | 中文(Chinese) |
中文摘要 | 口服葡萄糖會造成新生兒血鈣、磷及鎂的降低。靜脈注射治療劑量的葡萄糖是否會造成同樣的情況為本研究的目的。我們選擇20位正常足月新生兒,於產後48~54小時之間,國定於早晨餵食1小時之後採血,以分層取樣法分A、B兩組研究。A組於採血後靜注每公斤體重0.5公克,B組1公克濃度25%之葡萄糖並於靜注後15分,30分及60分分別作血糖、鈣、磷、鎂及游雞鈣的檢測。結果發現兩組個別之血游雞鈣、鈣及鎂靜注前後各時間之比較無差異,但血磷值均在30分起比靜注前有明顯降低。結論是餵食後的正常新生兒靜注治療劑量下的葡萄糖並無造成低鈣或低鎂血症之危險。 |
英文摘要 | Changes in serum levels of calcium, magnesium, phosphorus and ionized calcium at 0, 15, 30 and 60 minutes after intravenous injection of 25% glucose were studied in 20 normal postprandial term infants. Ten infants aged 50.9±1.7 hours and an other 10 infants aged 50.9±1.7 hours were given 0.5 and 1.0 gm/kg body weight of intravenous glucose, respectively. In response to glucose adiministration, serum glucose concentration rose and serum phosphorus fell significantly in both groups, but serum calcium, magnesium and ionized calcium were unaltered. There is no significant changes in the calcium and megnesium levels after injection in postprandial healthy term infants. |
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