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作者观察了1987年3月～1988年9月入院的糖尿病母亲所生婴儿(IDM)43例,以此了解慢性子宫内低氧血症和出生时铁状态间接指数间的相关性及确定IDM胎儿铁的分布。结果表明本组15例婴儿(35%)无血清铁异常,血清铁蛋白、血清铁、红细胞游离原卟啉(FEP)和总铁结合力正常(Dallman 0期)。28例婴儿(65%)出生时有铁生优异常:1期8例(血清铁蛋白<60μg/L并有或无血清铁<18μmol/L),2期9例(总铁结合力>60μmol/L和结合饱合铁减少),3期11例(FEP>126μg/dl,有显著红细胞生成破坏现象)。43例婴儿平均出生体重是3940±730g.平均胎龄是38±1周,大于胎龄(LGA)和适于胎龄(AGA)的IDM有异常血清铁测验率的分别是15/19(79%) 和13/24(54%),P=0.08;新
The authors looked at 43 infants (IDM) born to diabetic mothers from March 1987 to September 1988 to understand the association between chronic intrauterine hypoxemia and indirect iron status at birth and to identify IDM fetuses Iron distribution. The results showed that 15 infants (35%) had no serum iron abnormalities, serum ferritin, serum iron, erythrocyte free protoporphyrin (FEP) and total iron binding capacity (Dallman 0). Twenty-eight infants (65%) had iron-producing abnormalities at birth: 8 cases in stage 1 (serum ferritin <60 μg / L with or without serum iron <18 μmol / L) / L and decreased in combination with satiety iron), and stage III (FEP> 126μg / dl, with significant destruction of erythropoiesis). The average birth weight of 43 infants was 3940 ± 730 g.The average gestational age was 38 ± 1 week, and the abnormal serum iron test rates for IDM greater than gestational age (LGA) and for gestational age (AGA) were 15/19 (79 %) And 13/24 (54%), P = 0.08; new