摘要
自从1958年Cremer首先报道蓝光治疗新生儿高胆红素血症以来,30年的实践证明该法具有安全可靠、简便、价廉的特点,已被广泛采用,并已引入家庭治疗。但1975年我科应用自制简易蓝光治疗仪发现其需液量远较文献报道为多。近年来已有国产专用仪。
This paper presents the influence on energy, water and electrolytes during phototherapy using the Model DGY-I Phototherapic Machine which was made in Dalan Industrial College is used to treat the hyperbilirubinemia of newborn infants.Ten cases of hyperbilirubinemla of newborn infant were treated with phototherapy for 12 hours, their body weight were no changed before and after phototherapy, But their energy in take, water intake, urine volume were 1.7, 2.0, 1.8 times higher than that of 10 cases of normal newborn infant without phototherapy, respectively. Both sensible and insensible water losses were increased obviously. serum sodium, potassium and chloride concentrations were not significantly changed before and after phototherapy, while the sodium intake was less than the sodium discharge in urine. Serum calcium concentation was decreased from (?) 9.13 to 7.77mg/dl. One of them was decreased to 4.6mg/dl, presenting the symptoms of hypocalcemia. The change of serum sodium concentration was observed in the other group of 10 cases of hyperbilirubinemia of newborn infant treated with phototherapy for 24 hours. Of 10 cases, 2 needed the supplement of sodium bicarbonate during the phototherapic period, 8 were not supplied sodium, but their serum sodium concentration were deer- eased from 129.7+2.9±0.92 to 125.7±6.25±1.98meq/L. One of them was decreased to 112meq/L, presenting the symptoms of hyponatremia. It is indicated that the sodium must be supplied for infant with phototherapy for a long time.
出处
《广东医学》
CAS
CSCD
1990年第1期19-21,共3页
Guangdong Medical Journal
