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新生儿缺氧缺血性脑病(HIE),可引起多器官功能损害及电解质紊乱,尤以低钠血症多见,本院自1995年2月～2000年4月共收治HIE 200例,其中150例HIE并发低钠血症,现分析总结如下:1 临床资料1.1 一般资料:150例患儿中,男80例,女70例.年龄:出生后半小时～72小时.体重:2.0 kg≤2.5kg10例,2.5kg≤4.0kg115例,>4.0kg25例.孕周(W)28W<37W 6例,37W≤42W 126例,>42W 18例.1.2 诊断依据及分度:按1989年济南会议标准.临床分度:轻度:33例,中度:80例,重度:37例.全部病例均作头颅CT检查,提示脑实质均存在着不同程度的低密度影,其中30例伴有高密度影.对照组:92例均为本院产房正常出生的新生儿.l.3 临床表现:抑制症状86例,兴奋症状36例,先抑制后兴奋
Neonatal hypoxic-ischemic encephalopathy (HIE), can cause multiple organ dysfunction and electrolyte imbalance, especially hyponatremia more common in our hospital from February 1995 to April 2000 were treated 200 cases of HIE, in which 150 cases of HIE complicated by hyponatremia, are now analyzed as follows: 1 Clinical data 1.1 General Information: 150 cases of children, 80 males and 70 females Age: half an hour to 72 hours after birth body weight: 2.0 kg ≤ 2.5kg≤4.0kg115 cases,> 4.0kg25 cases .Pregnancy (W) 28W <37W in 6 cases, 37W≤42W 126 cases,> 42W 18 cases .1.2 Diagnosis basis and index: According to the 1989 Jinan Conference Standard.Clinical index: mild: 33 cases, moderate: 80 cases, severe: 37. All cases were made for cranial CT examination, suggesting that there are varying degrees of brain parenchyma, low density, of which 30 cases were associated with high Control group: 92 cases were born in our hospital normal delivery of newborns.3.3 Clinical manifestations: inhibition of symptoms in 86 cases, 36 cases of excitatory symptoms, after the first inhibition of excitement