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題名 | Hyperkalemia in Premature Infants Weighing Less Than 1,500 Grams=小於1,500公克早產兒之高血鉀症 |
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作者 | 鍾美勇; 黃崇濱; | 書刊名 | Clinical Neonatology |
卷期 | 6:1 1999.01[民88.01] |
頁次 | 頁1-5 |
分類號 | 417.5939 |
關鍵詞 | 早產兒; 高血鉀症; Hyperkalemia; Premature infants; Intraventricular hemorrhage; Respiratory distress syndrome; Urine flow; |
語文 | 英文(English) |
英文摘要 | Forty-seven low birth weight premature infants weighing less than 1,500 gm were evaluated retrospectively for risk factors of early onset hyperkalemia. Early onset hyperkalemia was defined as a serum potassium concentration equal to 6.8 mEq/L or greater during the first 3 days of life. Gestational age, birth weight, bilirubin level, amount of packed red blood cells transfused, incidence and severity of intraventricular hemorrhage, incidence of respiratory distress syndrome, Apgar scores, serum pH value, blood urea nitrogen, serum creatinine, serum sodium and urinary output were compared between a hyperkalemic group (n = 12) and a normokalemic group (n = 35). The peak serum potassium level most often occurred on the second day. Babies in the hyperkalemic group had a significantly lower gestational age (25.8 ± 1.8 vs 30.0 ± 3.0 wk, p < 0.001) and birth weight (898 ± 206 vs 1217 ± 200 gm, p < 0.001). The hyperkalemic group also had lower Apgar scores at 5 minutes (p<0.05), higher serum creatinine levels (p < 0.05) and lower urinary output (p < 0.001). Logistic regression showed that the most important factors were gestational age (p < 0.01) and urinary output (p < 0.05). We suggest that the serum potassium level must be followed up closely during the first 3 days of life for very low birth weight premature infants, especially those with a low urinary output. |
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