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Hypocalcemia in the Newborn

机译：新生儿低钙血症

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摘要

Healthy term babies undergo a physiological nadir in serum calcium levels by 24–48 hours of age. This nadir may be related to the delayed response of parathyroid and calcitonin hormones in a newborn. This nadir may drop to hypocalcemic levels in high-risk neonates including infants of diabetic mothers, preterm infants and infants with perinatal asphyxia. This early onset hypocalcemia which presents within 72 hours, requires treatment with calcium supplementation for at least 72 hours. In contrast late onset hypocalcemia usually presents after 7 days and requires long term therapy. Ionized calcium is crucial for many biochemical processes and total serum calcium is a poor substitute for the diagnosis of hypocalcemia.
机译：健康的足月婴儿在24-48小时内的血清钙水平达到生理最低点。这个最低点可能与新生儿甲状旁腺和降钙素激素的反应延迟有关。在包括糖尿病母亲的婴儿，早产儿和围生期窒息的婴儿在内的高危新生儿中，该最低点可能降至低血钙水平。这种在72小时内出现的早发性低钙血症，需要补充钙至少72小时。相反，迟发性低钙血症通常在7天后出现，需要长期治疗。离子钙对于许多生化过程至关重要，血清总钙不能替代低血钙症的诊断。

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  • 来源
    《The Indian Journal of Pediatrics》 |2001年第10期|973-976|共4页
  • 作者

    Rajiv Aggarwal; Manas Upadhyay; Dr. Ashok K. Deorari; Vinod K. Paul;

  • 作者单位

    Division of Neonatology Department of Pediatrics All India Institute of Medical Sciences;

    Division of Neonatology Department of Pediatrics All India Institute of Medical Sciences;

    Division of Neonatology Department of Pediatrics All India Institute of Medical Sciences;

    Division of Neonatology Department of Pediatrics All India Institute of Medical Sciences;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Hypocalcemia; Ionized Calcium;

    机译：低钙血症;离子钙;

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