Effect of fluid restriction on postnatal weight and outcome in very low birth weight infants. |
Chul Lee, Hyeon Soo Lee, Ran Namgung, Dong Gwan Han |
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea |
극저출생체중아에서 수액제한요법이 체중변화 및
예후에 미치는 영향 |
이철, 이현수, 남궁란, 한동관 |
연세대학교 의과대학 소아과학교실 |
Received: 20 August 1990 • Accepted: 20 September 1990 |
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Abstract |
We studied 45 very low birth weight infants for change in birth weight, urine output, serum Na
level, ventilatory support and outcome between two groups after fluid restriction therapy. Group 1
(n=17) were infants whose weight loss were more than 5% of birth weight. Group 2 (n=17) were
infants whose weight loss were more than 5% of birth weight.
1) Group 1 had more fluid intake and less urine output than group 2.
2) Urine specific gravity and serum Na level were within physiologic ranges in both groups.
3) Group 1 needed more ventilatory assistance than group 2.
4) Group 1 had more complications and higher death rate than group 2. PDA occurred more
frequently in group 1.
We concluded that greater initial weight loss in very low birth weight infants after fluid restriction
can reduce the complications, especially PDA, and ventilatory support. |
Key Words:
Fluid restriction, Very low birth weight |
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