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我院新生儿病室于1988年10月~1989年3月共收治早产、低体重儿52例,发生晚期代谢性酸中毒(LMA)28例,发病率53.8%。以生后7~9天发病率最高。临床表现为体重增长缓慢、不增或减轻;眼窝鼻根及口周发绀;食欲减退;体温偏低或不升。LMA组血气结果:LMA程度与发病日龄无关。随访证实LMA的婴儿经及时纠正后其生长发育与无LMA的婴儿无明显差异。
Neonatal ward in our hospital from October 1988 to March 1989 were treated 52 cases of preterm and low birth weight children, the occurrence of late metabolic acidosis (LMA) in 28 cases, the incidence rate of 53.8%. 7 to 9 days after birth the highest incidence. Clinical manifestations of slow weight gain, no increase or decrease; eye socket and perioral cyanosis; loss of appetite; body temperature is low or not rise. Blood gas results in LMA group: LMA level has nothing to do with the age of onset. Follow-up confirmed that LMA infants after timely correction of growth and development of children with no LMA no significant difference.