危重新生儿的血电解质紊乱分析

目的：探讨危重新生儿血电解质紊乱的类型及发生率、不同日龄电解质紊乱的发生比较，指导临床治疗．方法：患儿入室后立即取桡动脉血0．1mL，采用美国i-STAT便携式血气分析仪测定血电解质，以后根据病情再复查血电解质。结果：电解质紊乱898例共1418例次中，发生一种电解质紊乱1124例次（79．27％）、两种电解质紊乱267例次（18．83％）、三种电解质紊乱27例次（1．90％），且与日龄有关。结论：对危重新生儿监测血电解质变化，及时纠正电解质紊乱，有利于改善预后，降低危重新生儿的死亡率。

Blood Electrolytes Disturbances in Neonates with Critical Diseases

Objective:To discuss the type and incidence rate of blood electrolyte disturbance in neonates with critical diseases,and compare them among different days.Methods:0.1 mL blood of radial artery was drew for blood electrolyte detection as soon as neonate was sent to NICU.The i-STAT portable instrument of blood gas analysis made in America was employed to detect the electrolytes.Results: In 898 neonates(1 418 samples),1 124 number of times(79.27%)had simple blood electrolyte disturbance,267 number of times(18.83%) had dual blood electrolyte disturbance,27 number of times(1.90%) had triple blood electrolyte disturbance.They showed a close relationship with the days of neonates.Conclusion: Examination of blood electrolyte in critical neonates and correct them promptly could improve the prognosis and reduce the dead rate of critical neonates.