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題名 | 足月新生兒腎臟水排泄之分析 |
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作者 | 陳遠浩; 李安仁; 王志祿; 陳炯暉; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 35:4 民83.07-08 |
頁次 | 頁301-305 |
分類號 | 417.5012 |
關鍵詞 | 新生兒; 水分攝取; 水排泄; Neonates; Fluid intake; Water excretion; |
語文 | 中文(Chinese) |
中文摘要 | 以33名出生1~2天大及該嬰兒爲6~7天大之正常足月新生兒爲研究對象,所做之新生兒腎臓水份排泄之研究中發現;出生6~7天大之新生兒隨後著奶量(水份攝取量)之明顯增加,其尿量不僅比其在出生1~2天大時有增加外(p<0.01),且尿鈉之排泄也隨尿量之增加比其出生1~2天大時也有明顯的增加(p<0.01)。雖然血中之滲透濃度(osmolality)及血鈉在兩者間並無差異,但尿液滲透濃度在出生6~7天大嬰兒則比其出1~2天大時有明顯之降低(p<0.01)。因此,本研究之結果可說是足月新生兒在水份之高攝取量下其腎臓對水之排除與尿液之稀釋具有相當之適應能力的再度印證。 |
英文摘要 | The response of renal water excretion was studied in 33 healthy 1-2 day-old and 6-7 day-old full-term newborn infants. With increasing milk intake (fluid intake) in 6-7 day- old newborn infants, there was not only a significant increase of urine flow, urinary sodium excretion was also significantly increased with urine amount (p<0.01). There was no significant differences of serum osmolality and serum sodium between 1-2 day- old and 6-7 day-old newborn infants, but there was a significant decrease of urine osmolality (p<0.0l) in 6-7 day-old infants. It is suggested that following high fluid (milk) intake full-term infants are capable of adaptively excreting large urine volume and more dilute urine. |
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