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首页> 外文期刊>Journal of pediatric endocrinology & metabolism: JPEM >Characteristics of infants admitted with hypoglycemia to a neonatal unit
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Characteristics of infants admitted with hypoglycemia to a neonatal unit

机译：新生儿低血糖症患者的特征

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Background: Neonatal hypoglycemia is a common symptom in early infant life. The currently available literature identifies the risk factors but not the degree to which each factor lends itself to the development or severity of an ensuing hypoglycemia. Methods: A retrospective electronic chart review of nearterm and term infants (> 35 weeks' gestation) admitted to a tertiary-level neonatal unit over 16 months was carried out from the initiation of electronic record keeping. Results: Ninety-five infants admitted with hypoglycemia to the unit were identified with complete records available. Fifty-eight percent of the infants were males, and the median gestation was 38 weeks. Twenty-two percent of the infants were premature, whereas 18 % were macrosomic. Maternal diabetes was present in 27 % infants. Comorbidities were common in this cohort, with approximately two-thirds of infants having multiple morbidities. The majority of which were jaundice and infection, whereas the minor ones were respiratory distress, initial lactic acidosis, feeding issues, and temperature instability. Conclusions: Neonatal hypoglycemia continues to be a significant morbidity in near-term and term infants. The presence of multiple morbidities is common in the setting of hypoglycemia and is the main determinant of the length of stay in the neonatal unit in this study population.
机译：背景：新生儿低血糖是婴儿早期生活中的常见症状。当前可获得的文献确定了危险因素，但没有确定每种因素对随后发生的低血糖症的发生或严重程度的影响程度。方法：从电子记录保存开始，回顾性电子图表回顾了16个月以上入院的三级新生儿的近期和足月婴儿（> 35周妊娠）。结果：识别出有低血糖入院的95例婴儿，并有完整的记录。 58％的婴儿是男性，中位妊娠为38周。 22％的婴儿为早产儿，而18％的婴儿为大婴儿。 27％的婴儿中存在母体糖尿病。合并症在这个队列中很常见，大约三分之二的婴儿患有多种疾病。其中大多数是黄疸和感染，而次要是呼吸窘迫，最初的乳酸性酸中毒，进食问题和温度不稳定。结论：新生儿低血糖症仍然是近期和足月婴儿的重要发病率。低血糖情况下常见多种疾病，这是该研究人群新生儿单位住院时间的主要决定因素。

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