[Effects of fasting and infusion of acid-base balance, electrolyte and plasma glucose level in children during operation].
We studied the effects of fasting and infusion different fluid on acid-base balance, electrolyte and plasma glucose level in 50 children during operation. After whole night fasting, 26 of 44 children (59.1%) were found to have metabolic acidosis, and 5 of 42 children (11.9%) have hypokalemia. The serum K+ level of 30 of 42 children (71.4%) and the serum Na+ level of 6 of 48 children (12.5%) were lower than normal. The serum Cl- level of 21 of 48 children (43.8%) was higher than normal. The serum glucose level of 6 of 48 children was lower than normal. One of 48 children (2.1%) had hypoglycemia. The effects of infusing deferent fluids on acid-base balance, electrolytes and plasma glucose level were compared. The results showed that in patients infusing 10% dextrose with Ringer's solution or 5% Dextrose with normal saline, the plasma glucose level, electrolytes maintained at the normal level or acidosis corrected significantly. It is suggested that 10% dextrose with Ringer's solution and 5% dextrose with normal saline are infused during operation for children.
Zhang
X F
XF
Children's Hospital, Shanghai Medical University.
D000136:Acid-Base Equilibrium; D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism*; D002648:Child; D002675:Child, Preschool; D002713:Chlorine / Q000097:blood; D005215:Fasting / Q000009:adverse effects; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects; D006801:Humans; D007223:Infant; D007432:Intraoperative Period; D008297:Male; D011188:Potassium / Q000097:blood*; D012964:Sodium / Q000097:blood; D013514:Surgical Procedures, Operative
D001786:Blood Glucose; D002713:Chlorine; D012964:Sodium; D011188:Potassium