Zusammenfassung
Gesamtkörperwasser und Extrazellulärflüssigkeit des Feten nehmen im letzten Trimenon der Schwangerschaft ab. Postnatal setzt sich diese Entwicklung bei gleichzeitiger Zunahme der Intrazellulärflüssigkeit fort [21, 45]. Bei eutrophen Frühgeborenen zwischen 25 und 30 SSW beträgt der gesamte Wassergehalt bei der Geburt etwa 850 ml/kg KG, die extrazelluläre Flüssigkeit etwa 500 ml/kg KG [17].
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Literatur
Agren J, Sjors G, Sedin G (1998) Transepidermal water loss in infants born at 24 and 25 weeks of gestation. Acta Paediatr 87:1185–90
Ali A, Walentik C, Mantych GJ, Sadiq HF, Keenan WJ, Noguchi A (2003) Iatrogenic acute hypermagnesemia after total parenteral nutrition infusion mimicking septic shock syndrome: two case reports. Pediatrics 112:e70–2
Amenta S, Sofocleous C, Kolialexi A, Thomaidis L, Giouroukos S, Karavitakis E, Mavrou A, Kitsiou S, Kanavakis E, Fryssira H (2005) Clinical manifestations and molecular investigation of 50 patients with Williams syndrome in the Greek population. Pediatr Res 57:789–95
Bell EF, Acarregui MJ (2008) Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev:CD000503
Bryowsky JJ, Bugnitz MC, Hak EB (2004) Pamidronate treatment for hypercalcemia in an infant receiving parenteral nutrition. Pharmacotherapy 24:939–44
Burden AD, Krafchik BR (1999) Subcutaneous fat necrosis of the newborn: a review of 11 cases. Pediatr Dermatol 16:384–7
Conner JM, Soll RF, Edwards WH (2004) Topical ointment for preventing infection in preterm infants. Cochrane Database Syst Rev:CD001150
Costarino AT Jr., Gruskay JA, Corcoran L, Polin RA, Baumgart S (1992) Sodium restriction versus daily maintenance replacement in very low birth weight premature neonates: a randomized, blind therapeutic trial. J Pediatr 120:99–106
Dudink J, Walther FJ, Beekman RP (2003) Subcutaneous fat necrosis of the newborn: hypercalcaemia with hepatic and atrial myocardial calcification. Arch Dis Child Fetal Neonatal Ed 88:F343–5
Filippi L, Cecchi A, Dani C, Bertini G, Pezzati M, Rubaltelli FF (2004) Hypernatraemia induced by sodium polystyrene sulphonate (Kayexalate) in two extremely low birth weight newborns. Paediatr Anaesth 14:271–5
Flenady VJ, Woodgate PG (2003) Radiant warmers versus incubators for regulating body temperature in newborn infants. Cochrane Database Syst Rev:CD000435
Fridriksson JH, Helmrath MA, Wessel JJ, Warner BW (2001) Hypercalcemia associated with extracorporeal life support in neonates. J Pediatr Surg 36:493–7
Grammatikopoulos T, Greenough A, Pallidis C, Davenport M (2003) Benefits and risks of calcium resonium therapy in hyperkalaemic preterm infants. Acta Paediatr 92:118–20
Greenough A, Emery EF, Brooker R, Gamsu HR (1992) Salbutamol infusion to treat neonatal hyperkalaemia. J Perinat Med 20:437–41
Hak EB, Crill CM, Bugnitz MC, Mouser JF, Chesney RW (2005) Increased parathyroid hormone and decreased calcitriol during neonatal extracorporeal membrane oxygenation. Intensive Care Med 31:264–70
Hammarlund K, Sedin G, Stromberg B (1983) Transepidermal water loss in newborn infants. VII: Relation to gestational age and post-natal age in appropriate and small for gestational age infants. Acta Paediatr Scand 72:721–8
Hartnoll G, Betremieux P, Modi N (2000) Body water content of extremely preterm infants at birth. Arch Dis Child Fetal Neonatal Ed 83:F56–9
Hartnoll G, Betremieux P, Modi N (2000) Randomised controlled trial of postnatal sodium supplementation on body composition in 25 to 30 week gestational age infants. Arch Dis Child Fetal Neonatal Ed 82:F24–8
Hartnoll G, Betremieux P, Modi N (2000) Randomised controlled trial of postnatal sodium supplementation on oxygen dependency and body weight in 25–30 week gestational age infants. Arch Dis Child Fetal Neonatal Ed 82:F19–23
Haycock GB (1995) The syndrome of inappropriate secretion of antidiuretic hormone. Pediatr Nephrol 9:375–81
Heimler R, Doumas BT, Jendrzejczak BM, Nemeth PB, Hoffman RG, Nelin LD (1993) Relationship between nutrition, weight change, and fluid compartments in preterm infants during the first week of life. J Pediatr 122:110–4
Hsu SC, Levine MA (2004) Perinatal calcium metabolism: physiology and pathophysiology. Semin Neonatol 9:23–36
Hu PS, Su BH, Peng CT, Tsai CH (1999) Glucose and insulin infusion versus kayexalate for the early treatment of non-oliguric hyperkalemia in very-low-birthweight infants. Acta Paediatr Taiwan 40:314–8
Kavvadia V, Greenough A, Dimitriou G, Forsling ML (2000) Randomized trial of two levels of fluid input in the perinatal period – effect on fluid balance, electrolyte and metabolic disturbances in ventilated VLBW infants. Acta Paediatr 89:237–41
Kavvadia V, Greenough A, Dimitriou G, Hooper R (2000) Randomised trial of fluid restriction in ventilated very low birthweight infants. Arch Dis Child Fetal Neonatal Ed 83:F91–6
Kemper MJ, Harps E, Hellwege HH, Muller-Wiefel DE (1996) Effective treatment of acute hyperkalaemia in childhood by short-term infusion of salbutamol. Eur J Pediatr 155:495–7
Kjartansson S, Arsan S, Hammarlund K, Sjors G, Sedin G (1995) Water loss from the skin of term and preterm infants nursed under a radiant heater. Pediatr Res 37:233–8
Laroia N, Phelps DL, Roy J (2007) Double wall versus single wall incubator for reducing heat loss in very low birth weight infants in incubators. Cochrane Database Syst Rev:CD004215
Lorenz JM, Kleinman LI, Markarian K (1997) Potassium metabolism in extremely low birth weight infants in the first week of life. J Pediatr 131:81–6
Lui K, Thungappa U, Nair A, John E (1992) Treatment with hypertonic dextrose and insulin in severe hyperkalaemia of immature infants. Acta Paediatr 81:213–6
Mahoney BA, Smith WA, Lo DS, Tsoi K, Tonelli M, Clase CM (2005) Emergency interventions for hyperkalaemia. Cochrane Database Syst Rev:CD003235
Malone TA (1991) Glucose and insulin versus cation-exchange resin for the treatment of hyperkalemia in very low birth weight infants. J Pediatr 118:121–3
Mildenberger E, Versmold HT (2002) Pathogenesis and therapy of non-oliguric hyperkalaemia of the premature infant. Eur J Pediatr 161:415–22
Modi N (1998) Hyponatraemia in the newborn. Arch Dis Child Fetal Neonatal Ed 78:F81–4
Nako Y, Tachibana A, Harigaya A, Tomomasa T, Morikawa A (2000) Syndrome of inappropriate secretion of antidiuretic hormone complicating neonatal diazepam withdrawal. Acta Paediatr 89:488–9
Noguchi A, Eren M, Tsang RC (1980) Parathyroid hormone in hypocalcemic and normocalcemic infants of diabetic mothers. J Pediatr 97:112–4
Nopper AJ, Horii KA, Sookdeo-Drost S, Wang TH, Mancini AJ, Lane AT (1996) Topical ointment therapy benefits premature infants. J Pediatr 128:660–9
Ohlsson A, Hosking M (1987) Complications following oral administration of exchange resins in extremely low-birth-weight infants. Eur J Pediatr 146:571–4
Pradhan M, Leonard MB (2003) Calcium-free hemodialysis for hypercalcemia of malignancy in a newborn. Pediatr Nephrol 18:474–6
Riesenfeld T, Hammarlund K, Sedin G (1995) Respiratory water loss in relation to gestational age in infants on their first day after birth. Acta Paediatr 84:1056–9
Rugolotto S, Gruber M, Solano PD, Chini L, Gobbo S, Pecori S (2007) Necrotizing enterocolitis in a 850 gram infant receiving sorbitol-free sodium polystyrene sulfonate (Kayexalate): clinical and histopathologic findings. J Perinatol 27:247–9
Sato K, Kondo T, Iwao H, Honda S, Ueda K (1995) Internal potassium shift in premature infants: cause of nonoliguric hyperkalemia. J Pediatr 126:109–13
Sedin G (1996) Fluid management in the extremely preterm infant. In: Hansen TN, McIntosh N (Hrsg) Current topics in neonatology. W.B. Saunders, London
Shaffer SG, Weismann DN (1992) Fluid requirements in the preterm infant. Clin Perinatol 19:233–50
Shaffer SG, Bradt SK, Meade VM, Hall RT (1987) Extracellular fluid volume changes in very low birth weight infants during first 2 postnatal months. J Pediatr 111;124–8
Singh BS, Sadiq HF, Noguchi A, Keenan WJ (2002) Efficacy of albuterol inhalation in treatment of hyperkalemia in premature neonates. J Pediatr 141:16–20
Thayyil S, Kempley ST, Sinha A (2008) Can early-onset nonoliguric hyperkalemia be predicted in extremely premature infants? Am J Perinatol 25:129–33
Vemgal P, Ohlsson A (2007) Interventions for non-oliguric hyperkalaemia in preterm neonates. Cochrane Database Syst Rev:CD005257
Vohra S, Frent G, Campbell V, Abbott M, Whyte R (1999) Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. J Pediatr 134:547–51
Waller S, Kurzawinski T, Spitz L, Thakker R, Cranston T, Pearce S, Cheetham T, van’t Hoff WG (2004) Neonatal severe hyperparathyroidism: genotype/phenotype correlation and the use of pamidronate as rescue therapy. Eur J Pediatr 163:589–94
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Maier, R.F. (2011). Flüssigkeits- und Elektrolytbilanz. In: Maier, R.F., Obladen, M. (eds) Neugeborenenintensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01069-9_9
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