国际麻醉学与复苏杂志   2011, Issue (3): 0-0
    
小儿术中血糖管理的临床进展
沈婷, 王英伟1()
1.上海市新华医院
Clinical Progress of blood glucose control in pediatric surgery
 全文:
摘要:

小儿外科手术中由于术前的禁食、胰岛素应用不当可导致术中低血糖;术中应激反应、输入过量含糖溶液则可导致高血糖。低血糖和高血糖均可导致中枢神经系统损伤,产生严重后遗症。本文旨在讨论血糖紊乱产生的生理损害,术中不同含糖浓度输液对于血糖的影响,以及如何在术中有效控制血糖浓度。

关键词: 低血糖,高血糖,胰岛素,小儿麻醉
Abstract:

Preoperative fasting and inappropriate application of insulin may cause intraoperative hypoglycemia in pediatric surgery, while stress reaction and overdose glucose may lead to hyperglycemia . Both hypoglycemia and hyperglycemia may cause severe sequelae because of the damage of central nervous system. The purpose of this article is to review the physiological lesion caused by blood glucose disorder and to discuss the influence of different concentration of dextrose solution on intraoperative blood glucose and how to control it. effectively.

Key words: hypoglycemia, hyperglycemia, insulin, pediatric anesthesia