Title

55例嬰幼兒低血糖的臨床分析

Translated Titles

A Clinical Analysis of 55 Cases Infants with Hypoglycemia

Authors

程靜(Jing Cheng);劉麗(Li Liu);李秀珍(Xiou-Zhen Li)

Key Words

低血糖 ; 嬰幼兒 ; Hypoglycemia ; Infants

PublicationName

中國臨床醫學

Volume or Term/Year and Month of Publication

12卷4期(2005 / 08 / 25)

Page #

684 - 686

Content Language

簡體中文

Chinese Abstract

目的:探討嬰幼兒低血糖的病因分類及實驗室檢測方法。方法:對2004年1月~2005年3月住院治療的55例0~3歲低血糖患兒臨床資料進行回顧分析。結果:0~28d 31例,29d~1歲23例,1~3歲1例;0~28d患兒中早產因素最多見[24例(43.6%)],其次是低出生體重兒[23例(41.8%)];~1歲患兒中半乳糖血症最多見[8例(14.5%)],其次是肝糖原貯積症[4例(7.2%)];~3歲患兒中肝糖原貯積症[1例(1.8%)]。結論:嬰幼兒低血糖以0~1歲年齡組為主。部分患兒低血糖發生時無任何臨床表現,醫師應提高警惕,及早診斷。29d~3歲年齡組發病通常有明確內分泌或代謝性疾病,病因以半乳糖血症,肝糖原貯積症為主。母乳餵養伴有腹瀉、黃疸、肝大、肝功能異常的低血糖患兒,應警惕半乳糖血症。

English Abstract

Objective: To explore the clinical characteristics and common causes of infants hypoglycemia. Methods: 55 hypoglycemia infants aged from 0~3 years who were diagnosed and treated during Jan. 2004. 1 to Mar. 2005. 3 were analyzed retrospectively. Results: 31 cases were 0~28 days old, 23 cases were 0~1 year old and I case was 1~3 years old; 17 (30.9%) patients who were 0~28 days old were due to premature birth while 7 (12.7%) of them were due to low-weight. 8 (14.5%) of patients who were 0~1 year old were due to galactosemia while 5 (9.1 %) of them were due to hepatoglycogenosis. 1 (1.8%) patient who was 1~3 years old was due to hepatoglycogenosis. Conclusion: Most of the infant hypoglycemia patients were only 0~1 year old. Some of these infant patients had no clinical signs when they suffered hypoglycemia. Infants patients who were 29 days~3 years old usually had diseases of endocrine glands or metabolic diseases, the most common causes were galactosemia and hepatoglycogenosis. Galactosemia should be considered when a breast feeding infant hypoglycemia patient with diarrhea, jaundice, hepatomegaly and abnormal liver function.

Topic Category 醫藥衛生 > 醫藥衛生綜合