頁籤選單縮合
題 名 | Calcinosis Cutis Following Extravasation of Calcium Gluconate in Neonates=新生兒投予Calcium Gluconate後皮下鈣化之硬塊 |
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作 者 | 穆淑琪; 林姃慧; 宋增銓; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 40:1 民88.01-02 |
頁 次 | 頁34-35+60 |
分類號 | 417.517 |
關鍵詞 | 皮下鈣化硬塊; 新生兒低血鈣症; Calcinosis cutis; Calcium gluconate; Neonatal hypocalcemia; |
語 文 | 英文(English) |
中文摘要 | 新生兒低血鈣症非罕見的症狀,尤其於早產兒更是常見,一般我們會投予Calcium Gluconate 來加以矯正。 我們收集九個因投予 Calcium Gluconate 後而致皮下鈣化硬塊的 個案,其發生硬塊的時間為五天至十一天,除可造成滲出處硬塊結節外,也可導致關節的收 縮,臨床上處理仍以支持性療法為主,極少數嚴重的個案才需要植皮,日後追蹤中皆可完全 恢復功能。 |
英文摘要 | Neonatal hypocalcemia is not an uncommon condition, especially in the premature neonate. It is effectively treated by intravenous infusion with calcium gluconate. We treated nine neonates with subcutaneous calcium deposition following calcium replacement with calcium gluconate from Jan. 1997 to Dec. 1997. Three of the infants were born to diabetic mothers, two had perinatal asphyxia and four were born prematurity. The average dosing number was 7.4 (5 to 9 doses). The onset of calcinosis cutis was 5 to 11 days after the first dose. The replacement of calcium gluconate caused amorphous masses at the site of extravasation and contracture of joint movement. A radiographic study was performed to determine the extent and course of extravasation, and areas remote from the infusion site also showed calcification. There is no specific mode of treatment except supportive management and a skin graft. The patient could functionally recover with cosmetic residue. In our follow-up clinics, all infants completely recovered without functional limitations. |
本系統中英文摘要資訊取自各篇刊載內容。