中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2008年
z1期
22-23
,共2页
彭志勇%LI Xi-fu%薜湘平%黄丽文%苏素良
彭誌勇%LI Xi-fu%薜湘平%黃麗文%囌素良
팽지용%LI Xi-fu%벽상평%황려문%소소량
全身炎症反应综合征%肾素%血管紧张素Ⅱ%醛固酮
全身炎癥反應綜閤徵%腎素%血管緊張素Ⅱ%醛固酮
전신염증반응종합정%신소%혈관긴장소Ⅱ%철고동
Systemic influrnmatory response synolrome%Renin angiotensin Ⅱ%Aldosterone
目的 初步观察小儿全身炎症反应综合征(SIRS)的肾素-血管紧张素Ⅱ-醛固酮系统的变化.方法 观察组为呼吸道感染合并SIRS的患儿,每取1例观察组患儿,在最近的时间随机取1例呼吸道感染而不合并SIRS的患儿作为对照组.两组均为31例.两组患儿入院后抽静脉血查肾素活性、血管紧张素Ⅱ、醛固酮和生化8项(钾、钠、氯、钙、葡萄糖、总二氧化碳、肌酐、尿素氮).对全部检测结果进行统计学处理.结果 SIRS患儿肾素活性、血管紧张素Ⅱ、醛固酮三项均升高,差异均有非常显著性.SIRS患儿血钾、钠、氯、钙、葡萄糖、尿素氮、肌酐的变化差异无显著性意义;血总二氧化碳降低,差异有显著性.结论 小儿SIRS肾素活性、血管紧张素、醛固酮三项均升高.
目的 初步觀察小兒全身炎癥反應綜閤徵(SIRS)的腎素-血管緊張素Ⅱ-醛固酮繫統的變化.方法 觀察組為呼吸道感染閤併SIRS的患兒,每取1例觀察組患兒,在最近的時間隨機取1例呼吸道感染而不閤併SIRS的患兒作為對照組.兩組均為31例.兩組患兒入院後抽靜脈血查腎素活性、血管緊張素Ⅱ、醛固酮和生化8項(鉀、鈉、氯、鈣、葡萄糖、總二氧化碳、肌酐、尿素氮).對全部檢測結果進行統計學處理.結果 SIRS患兒腎素活性、血管緊張素Ⅱ、醛固酮三項均升高,差異均有非常顯著性.SIRS患兒血鉀、鈉、氯、鈣、葡萄糖、尿素氮、肌酐的變化差異無顯著性意義;血總二氧化碳降低,差異有顯著性.結論 小兒SIRS腎素活性、血管緊張素、醛固酮三項均升高.
목적 초보관찰소인전신염증반응종합정(SIRS)적신소-혈관긴장소Ⅱ-철고동계통적변화.방법 관찰조위호흡도감염합병SIRS적환인,매취1례관찰조환인,재최근적시간수궤취1례호흡도감염이불합병SIRS적환인작위대조조.량조균위31례.량조환인입원후추정맥혈사신소활성、혈관긴장소Ⅱ、철고동화생화8항(갑、납、록、개、포도당、총이양화탄、기항、뇨소담).대전부검측결과진행통계학처리.결과 SIRS환인신소활성、혈관긴장소Ⅱ、철고동삼항균승고,차이균유비상현저성.SIRS환인혈갑、납、록、개、포도당、뇨소담、기항적변화차이무현저성의의;혈총이양화탄강저,차이유현저성.결론 소인SIRS신소활성、혈관긴장소、철고동삼항균승고.
Objective To primarily observe alternation of renin-angiotensin Ⅱ (Ang Ⅱ)-aldosterone system in children with systemic inflummatory response synolrome(SIRS). Methods The observation set were chirdren with respiratory tract infection(RTI) and SIRS, chose one case each time from the observation set, and at the closest time randomly chose 1 children with RTI but without SIRS as a comparison set. The two sets both has 31 cases. The two sets children were taken blood for exmination of renin activity、Ang Ⅱ、al-dosterone, and 8 channel bichemical profile (K、Na、Cl、Ca、blood sugar、summation carbon dioxide、creatinine、usea nitrogen). Deal with all these exmined result data using statistics. Results Retain activity、Ang Ⅱ、aldos-terone three items all markedly raised up in children with SIRS, which has significant differences The alterna-tion of K、Na、Cl、Ca、blcod sugar、creatinine、usea nitrogen in children with SIRS has no significant difference;Significant differences were observed on summation carbon dioxide in blood which was remarkedly bring down.Conclusion Renin activity、AngⅡ、aldosterone in children with SIRS all raised up.