论文部分内容阅读
目的 探讨新生儿危重症伴抗利尿激素异常分泌综合征 (SIADH)的相关因素。方法 对 16 4例危重新生儿通过监测血钠及血渗透浓度 ,尿钠及尿渗透浓度判断是否存在SIADH ,用Logistic回归方法找出引起新生儿SIADH的相关因素。结果 颅内疾患、肺部疾患和不适当的液体输入是引起新生儿危重症SIADH的危险因素。结论 危重新生儿易发生SIADH ,增加救治难度 ,适当控制危重新生儿液体入量可有效地控制SIADH的发生。
Objective To investigate the related factors of neonatal critical illness with antidiuretic hormone secretion syndrome (SIADH). Methods Serum sodium and blood osmolality, urinary sodium and urine osmolality were measured in 16 4 critically ill newborns to determine the presence or absence of SIADH. Logistic regression was used to identify the factors that caused SIADH in neonates. Results Intracranial disorders, lung disorders and inappropriate fluid inputs were risk factors for SIADH in critically ill neonates. Conclusions SIADH is more likely to occur in critically ill newborns and it is more difficult to treat and treat SIADH.