新生児低血糖症
WordNet
- relating to or affecting the infant during the first month after birth; "neonatal care"; "the neonatal period"
- abnormally low blood sugar usually resulting from excessive insulin or a poor diet (同)hypoglycaemia
PrepTutorEJDIC
- 新生児の
- 低血糖症,血糖減少症
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/01/07 02:30:30」(JST)
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Neonatal hypoglycemia |
Classification and external resources |
MedlinePlus |
007306 |
eMedicine |
article/802334 |
Neonatal hypoglycemia is a condition of decreased blood sugar or hypoglycemia in a neonate.
Contents
- 1 Causes
- 2 See also
- 3 References
- 4 Further reading
- 5 External links
Causes[edit]
Neonatal hypoglycemia can be found in the following conditions:
- Decreased substrate availability
- Intrauterine growth retardation
- Prematurity
- Inborn errors of metabolism (e.g. fructose intolerance)
- Glycogen storage disease
- Prolonged fasting without IV glucose
- Hyperinsulinemia
- Infant of diabetic mother
- Erythroblastosis fetalis
- Exchange transfusion
- Beckwith-Wiedemann Syndrome
- Islet cell hyperplasia
- Maternal ß-mimetic tocolytic agents
- High umbilical arterial catheter
- Abrupt cessation of IV glucose
- Other endocrine abnormalities
- Pan-hypopituitarism
- Hypothyroidism
- Adrenal insufficiency
- Increased glucose utilization
- Cold stress
- Sepsis
- Increased work of breathing
- Perinatal asphyxia
- Other conditions
- Polycythemia
- Congenital heart disease
- CNS abnormalities
See also[edit]
- Congenital hyperinsulinism
- Hyperinsulinemic hypoglycemia
References[edit]
Further reading[edit]
- Koh TH, Eyre JA, Aynsley-Green A (1988). "Neonatal hypoglycaemia--the controversy regarding definition". Arch. Dis. Child. 63 (11): 1386–8. doi:10.1136/adc.63.11.1386. PMC 1779139. PMID 3202648.
- Cornblath M, Schwartz R, Aynsley-Green A, Lloyd JK (1990). "Hypoglycemia in infancy: the need for a rational definition. A Ciba Foundation discussion meeting". Pediatrics 85 (5): 834–7. PMID 2330247.
- Cornblath M, Hawdon JM, Williams AF, Aynsley-Green A, Ward-Platt MP, Schwartz R, Kalhan SC (2000). "Controversies regarding definition of neonatal hypoglycemia: suggested operational thresholds". Pediatrics 105 (5): 1141–5. doi:10.1542/peds.105.5.1141. PMID 10790476.
- McGowan, JE (1 July 1999). "Neonatal Hypoglycemia". Pediatrics in Review 20 (7): 6e–15. doi:10.1542/pir.20-7-e6.
- "Postnatal Glucose Homeostasis in Late-Preterm and Term Infants". Pediatrics 127 (3): 575–579. 28 February 2011. doi:10.1542/peds.2010-3851.
- Neonatal hypoglycemia: initial and follow up management, Guideline
- Management of Neonatal Hypoglycemia, NNF Clinical Practice Guidelines.
External links[edit]
- Neonatal Hypoglycemia : Intensive Care Nursery House Staff Manual, The Regents of the University of California, 2004.
- Hypoglycemia in the Newborn, Lucile Packard Children’s Hospital
- Glucose Infusion Rate Calculator
- TPN Cheat Sheet
UpToDate Contents
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English Journal
- A systematic review of risk factors for cerebral palsy in children born at term in developed countries.
- McIntyre S, Taitz D, Keogh J, Goldsmith S, Badawi N, Blair E.SourcePaediatrics and Child Health, School of Medicine, University of Sydney, Sydney; Cerebral Palsy Alliance Research Institute, Darlinghurst; School of Medicine, University of Notre Dame Australia, Darlinghurst; Sydney Adventist Hospital Campus, University of Sydney, Wahroonga; Grace Centre for Newborn Care, Sydney Children's Hospital Network, Westmead; Centre for Child Health Research, University of Western Australia at the Telethon Institute for Child Health Research, Perth, Australia.
- Developmental medicine and child neurology.Dev Med Child Neurol.2013 Jun;55(6):499-508. doi: 10.1111/dmcn.12017. Epub 2012 Nov 26.
- Aim The aim of this study was to conduct a systematic review in order to identify the risk factors for cerebral palsy (CP) in children born at term. The secondary aim was to ascertain if the potential for prevention of these risk factors has been adequately explored. Method A MEDLINE search up
- PMID 23181910
- Benefits and Harms of Treating Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis for the U.S. Preventive Services Task Force and the National Institutes of Health Office of Medical Applications of Research.
- Hartling L, Dryden DM, Guthrie A, Muise M, Vandermeer B, Donovan L.AbstractBACKGROUND: Outcomes of treating gestational diabetes mellitus (GDM) are not well-established.
- Annals of internal medicine.Ann Intern Med.2013 May 28. doi: 10.7326/0003-4819-159-2-201307160-00661. [Epub ahead of print]
- BACKGROUND: Outcomes of treating gestational diabetes mellitus (GDM) are not well-established.PURPOSE: To summarize evidence about the maternal and neonatal benefits and harms of treating GDM.DATA SOURCES: 15 electronic databases from 1995 to May 2012, gray literature, Web sites of relevant organiza
- PMID 23712381
Japanese Journal
- 小児低血糖症における新知見 (特集 低血糖についての新しい知見)
- A Case of West Syndrome Associated with Neonatal Hypoglycemic Brain Injury
- Yasumoto Sawa,Nakamura Noriko,Tomonoh Yuko,Fujita Takako,Ihara Yukiko,Ninomiya Shinya,Ideguchi Hiroshi,Inoue Takahito,Hirose Shinichi
- 福岡大学医学紀要 37(4), 181-185, 2010-12
- NAID 110007808879
Related Links
- ne·o·na·tal hy·po·gly·ce·mi·a [MIM*240900] familial onset of symptomatic hypoglycemia during infancy, with persistently low blood glucose; a variant form ... 1c] concentrations, reducing macrosomia, and preventing neonatal ...
- Hypoglycemia is the most common metabolic problem in neonates. In children, a blood glucose value of less than 40 mg/dL (2. ... Neonatal hypoglycemia, defined as a plasma glucose level of less than 30 mg/dL (1.65 ...
Related Pictures
★リンクテーブル★
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- 英
- neonatal hypoglycemia, hypoglycemia of the newborn
- ラ
- hypoglycemia neonatorum
概念
- 新生児の血糖値が下記にあてはまる場合。
- 生後72時間以内:低出生体重児で20mg/dl以下、成熟児で30mg/dl以下
- 72時間以後 :体重に関係なく40mg/dl以下
- 正常な児では出生直後に血糖値80-100mg/dlを示す。
- 臨床的には全血血糖値が40mg/dL未満で処置を開始。最近は60mg/dL未満で治療を開始する施設もある。
原因
- SPE.127
-
症状
- SPE.128
- けいれん、易刺激性(振戦)、異常啼泣(甲高い鳴き声 high-pitched cry)、嗜眠、筋緊張低下、哺乳力低下、嘔吐、無呼吸発作、チアノーゼ、活動性低下、徐脈、心停止
- → 成人で見られる頻脈とか発汗は見られないみたい。自律神経が十分に発達していないせい?
- ↑
- |-矛盾している?
- ↓
- SPE.210
- 定義:血糖40mg/dLの児(SPE.210)。(成熟新生児)生後72時間以内30mg/dL以下、以降40mg/dL以下(QB.O-105)。
- 血糖40mg/dLの児を治療対象。40-50mg/dLは要注意 (SPE.210)
- 症状:初期には交感神経亢進による症状(不安、苦悶、発汗、心悸亢進、顔面蒼白、振戦、脱力、空腹感、嘔気・嘔吐)、進行すると中枢神経症状(頭痛、めまい、視力障害、複視、構音障害、失語症、健忘症、集中力低下、運動失調、片麻痺、知覚障害、傾眠、嗜眠、昏睡、除脳硬直) (SPE.210)
脈拍数について
- 参考1に記載無し。
参考
- 1. [charged]Neonatal hypoglycemia - uptodate[1]
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- 関
- neonatal period、neonatally、neonate、newborn、newborn animal、newborn infant