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本文报告37例新生儿一过性高血糖症,其母均无糖尿病史,其中26例发生在静脉输10%葡萄糖后,11例未曾输过葡萄糖。37例中足月小样儿19例,未成熟儿3例,成熟儿15例。所有病例均患有严重疾病。患儿空腹血糖均高于125毫克/分升,其中高于150毫克/分升者34例,血糖最高1400毫克/分升。临床除原发病表现外尚有脱水,轻至中度酸中毒,尿糖阳性,尿酮体阴性。除治疗原发病外,必须及时纠正脱水酸中毒。血糖高于400毫克/分升者用胰岛素1至3单位。37例中死亡15例,其余病例治愈,治愈病例血糖在6日内恢复正常。
This article reports 37 cases of transient hyperglycemia in newborns, the mother had no history of diabetes, of which 26 cases occurred in the intravenous infusion of 10% glucose, 11 patients had never lost glucose. In 37 cases, 19 cases were full-term samples, 3 cases were immature and 15 cases were mature. All cases have serious illnesses. Fasting blood glucose in children were higher than 125 mg / dl, of which more than 150 mg / d in 34 cases, the highest blood sugar 1400 mg / dl. In addition to clinical manifestations of primary disease there is dehydration, mild to moderate acidosis, urine sugar positive, urine ketone body negative. In addition to the treatment of primary disease, we must promptly correct dehydration acidosis. Blood sugar above 400 mg / dl insulin with 1 to 3 units. Of the 37 cases, 15 died and the remaining cases were cured. The blood sugar of the cured cases returned to normal within 6 days.