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血清Ca^2+浓度变化在新生儿HIE病情评估中的意义
引用本文:张传龙.血清Ca^2+浓度变化在新生儿HIE病情评估中的意义[J].安徽卫生职业技术学院学报,2004,3(3):62-63.
作者姓名:张传龙
作者单位:六安市人民医院儿科,安徽,237005
摘    要:目的:探讨缺氧缺血性脑病(HIE)时血清钙离子水平的变化及对病情判断的相关性.方法:对48例HIE患儿进行血清钙离子浓度检测,并随机选择同期住院的非HIE患儿24例作为对照组.结果:①HIE病情程度越重,血清钙离子浓度越低;②CT分度越重,血清钙离子浓度越低;③血清钙离子浓度在疾病初期降低显著,病情越重,降低越明显,治疗一周后显著升高.结论:血清钙离子水平的变化对HIE病情轻重程度判断有一定参考价值.

关 键 词:脑缺血  脑缺氧  血清钙  婴儿  新生  血清钙离子  浓度变化  新生儿  病情评估  意义  serum  clinical  significance  pattern  encephalopathy  ischemic  neonatal  价值  病情程度  病情轻重  治疗  疾病  离子浓度  结果  对照组  住院
文章编号:1671-8054(2004)03-0062-02
修稿时间:2004年5月14日

Changing pattern and clinical significance of serum Ca2+ concentrations in neonatal hypoxic- ischemic encephalopathy
ZHANG Chuan-long.Changing pattern and clinical significance of serum Ca2+ concentrations in neonatal hypoxic- ischemic encephalopathy[J].Journal of Anhui Heaith Vocational & Technical College,2004,3(3):62-63.
Authors:ZHANG Chuan-long
Institution:ZHANG Chuan-long Department of Pediatrics,Lu'an People's Hospital,Anhui 237005
Abstract:Objective To study the changing pattern and clinical significance of serum Ca2+concentrations in neonatal hypoxic-ischemic encephalopathy(HIE). Methods The levels of serum Ca2+of 48 cases with HIE and 24 cases with non-HIE neonatal patients were detected. Results Serum Ca2+concentrations in neonatal hypoxic-ischemic encephalopathy decreased significantly in first three days,especially in neonates with moderate and severe HIE (P<0.05 or <0.01) when compared with that of control group. After undergoing medical treatment,Serum Ca2+concentrations appeared to increase obviously.Good correlations between the levels of Ca2+in serum and the severity of HIE existed. Conclusion The levels of Ca2+in serum had a positive correlation with the severity of HIE.
Keywords:cerebral anoxia  cerebral ischemia  infant  newborn  serum Ca2+
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