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为了探讨新生儿窒息对患儿血清电解质变化的影响.方法 对71例窒息新生儿和20例正常新生儿血清钾、钠、氯电解质进行了监测.结果 新生儿窒息后血钠显著降低,低钠血症的发生率高达60.67%.动态观察表明窒息新生儿血钠值在病后2～3天继续下降,5～7天开始回升,但仍未达到正常水平.而且血钠降低的程度与病情及预后有关.而血钾、血氯在任何情况下变化均不明显.结论对窒息新生儿要重视血钠的监测以改善预后.
To investigate the effect of neonatal asphyxia on changes of serum electrolytes in children.Methods Serum potassium, sodium and chloride electrolytes in 71 neonates with asphyxia and 20 normal neonates were monitored.Results Serum sodium was significantly decreased after asphyxia, The incidence of hyperlipidemia was as high as 60.67% .Dynamic observation showed that neonatal asphyxia neonatal serum sodium decreased 2 to 3 days after the disease, 5 to 7 days began to rise, but still not reached the normal level .And the degree of serum sodium decreased with the disease And prognosis.However, the change of serum potassium and blood chlorine was not obvious under any circumstances.Conclusion The monitoring of serum sodium should be emphasized in neonatal asphyxia to improve the prognosis.