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Akute metabolische Entgleisungen

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Neugeborenenintensivpflege

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Zusammenfassung

Frühgeborene geraten in den ersten beiden Lebenswochen häufig in eine negative Natriumbilanz, da sie über die Niere viel NaCl verlieren und über den Magen-Darm-Kanal wenig resorbieren [2, 3]. Trotz hoher Aldosteronsekretion [21] und maximaler Stimulation ist die Natriumrückresorption im proximalen und distalen Tubulus ungenügend. Der tägliche Natriumbedarf beträgt 3–5 mmol/kg/Tag [4, 8]. Andererseits geraten diese Kinder durch erhöhten transepidermalen Flüssigkeitsverlust leicht in eine hyperchlorämische Azidose, wenn ihnen viel Natriumchlorid zugeführt wird, insbesondere wenn sie nicht in angefeuchteten Inkubatoren gepflegt werden, oder wenn sie Phototherapie erhalten (s. 16.9).

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Authors
  1. M. Obladen
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Editors and Affiliations

  1. Virchow-Klinikum, Kinderklinik KAVH, Heubnerweg 6, 14059, Berlin, Deutschland

    Georg Bein (Leiter der Abteilung für Kinderkardiologie) (Leiter der Abteilung für Kinderkardiologie)

  2. Allgemeines Krankenhaus Wandsbeck, Alphonsstraße 14, 22043, Hamburg, Deutschland

    Evelyn Kattner (Chefärztin der Abteilung für Neonatologie) (Chefärztin der Abteilung für Neonatologie)

  3. Universitätsklinikum Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland

    Jürgen Waldschmidt (Leiter der Abteilung für Kinderchirurgie) (Leiter der Abteilung für Kinderchirurgie)

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© 1995 Springer-Verlag Berlin Heidelberg

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Obladen, M. (1995). Akute metabolische Entgleisungen. In: Bein, G., Kattner, E., Waldschmidt, J. (eds) Neugeborenenintensivpflege. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08938-5_14

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  • DOI: https://doi.org/10.1007/978-3-662-08938-5_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58433-9

  • Online ISBN: 978-3-662-08938-5

  • eBook Packages: Springer Book Archive

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