Clinical research on changes of electrolytes within 72 h ours in asphyxia neonates
10.3760/cma.j.issn.1673-4904.2011.27.009
- VernacularTitle:窒息新生儿生后72小时内电解质变化的临床研究
- Author:
Yanqi XIE
;
Wei ZHOU
- Publication Type:Journal Article
- Keywords:
Infant,newborn;
Asphyxia;
Electrolytes
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(27):22-24
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyse the changes of electrolytes and electrolyte disturbances within 72 h in asphyxia neonates. MethodsTwenty-three severe-asphyxia neonates (asphyxia group) and 27 mildasphyxia neonates(control group) were selected.Venous blood samples of 2 ml were drawn at 0-24 h, 25-48h and 49-72 h respectively. The changes of electrolytes(such as plasma sodium, potassium, chlorine,calcium and magnesium) and the incidence of hyponatremia,hypokalemia,hypocalcaemia and hypomagnesemia were compared between two groups. ResultsThe levels of plasma sodium, calcium at 0-24 h, 25-48 h and 49-72 h in asphyxia group were lower than those in control group (P ＜ 0.05). The levels of plasma magnesium at 25-48 h and 49-72 h in asphyxia group were lower than those in control group (P ＜ 0.05 ), but there was no significant difference at 0-24 h (P ＞ 0.05 ). The levels of plasma potassium at 49-72 h in asphyxia group was lower than that in control group(P＜ 0.05). There were no obvious changes in plasma chlorine, phosphorus in two groups (P＞0.05). Hyponatremia, hypokalemia, hypocalcaemia was happened within 72 h in asphyxia neonates especially at 25-48 h, but hypomagnesemia was more at 25-48 h and 49-72 h. ConclusionElectrolyte disturbances can appear not only in 24 h, but also in different periods after asphyxia, therefore, it is necessary to maintain homeostasis by taking corresponding measures according to the changes of blood gas and the changes of electrolytes.
