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目的 探讨巨大儿并发症的临床及预后。方法 诊断巨大儿伴有并发症的 5 8例患儿查头颅CT、肝功能、心肌酶、血糖、X线胸片等 ,了解巨大儿并发症的具体情况 ,给予明确的诊断和治疗。结果 窒息、低血糖发生均并列首位 ,各 2 7例 (4 6 .5 % ) ,糖尿病母儿组的低血糖和高胆红素血症发生数明显高于正常母儿组 (P <0 .0 1)。结论 对于巨大儿要引起足够的重视 ,尤其是对于糖尿病产妇所生的巨大儿必须重点监护。尽量避免医源性的窒息及损伤的发生 ,及时发现并发症 ,进行积极的治疗 ,以减少后遗症 ,提高巨大儿生存质量
Objective To investigate the clinical and prognosis of macrosomia complications. Methods Fifty-eight children diagnosed as giant children with complications were examined with CT, liver function, myocardial enzymes, blood glucose, X-ray and so on to understand the specific situation of giant child complications and to give a clear diagnosis and treatment. Results Asphyxia and hypoglycemia occurred in the first place, with 27 cases (46.5%) in each group. The incidence of hypoglycemia and hyperbilirubinemia in the DM group was significantly higher than that in the normal DM group (P <0. 0 1). Conclusion For huge children to cause enough attention, especially for the huge children born to diabetic mothers must focus on custody. Try to avoid iatrogenic asphyxia and injury, timely detection of complications, active treatment to reduce sequelae and improve the quality of life of children