Diagnosis and treatment strategy in neonatal hypoglycemia
10.3760/cma.j.issn.1673-4408.2012.06.004
- VernacularTitle:新生儿低血糖症的诊治
- Author:
Bing HUA
- Publication Type:Journal Article
- Keywords:
Neonatal;
Hypoglycemia;
Brain damage
- From:
International Journal of Pediatrics
2012;(6):554-557
- CountryChina
- Language:Chinese
-
Abstract:
Hypoglycemia is a common metabolic disorder of neonates.Severe and prolonged neonatal symptomatichypoglycemia can cause cerebral lesions.Operational threshold is asscioated with delayed neurological development in infants at risk.Treatment should be based on diffenrent approaches guided by asymptomatic hypoglycemia and symptomatic hypoglycemia.Magnetic resonance diffusion weighted imaging and brain stem auditory evoked potentials in diagnosis hypocemic brain damage is more sensitive and specific,especially in the early period.With the current neonatal hypoglycemia the gradual deepening of understanding,and further put forward a neonatal hypoglycemia diagnosis and treatment strategy.The threshold of 2.6 mmol/L is recommended currently in guidelines.Key to preventing complications from glucose deficiency is to identify infants at risk,promote early and frequent feedings,normalize glucose homeostasis,measure glucose concentrations early and frequently in infants at risk,and treat promptly when glucose deficiency is marked and symptomatic.
