中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2007年
z1期
38-41
,共4页
庄婉莉%林广裕%郑红%陈派镇%林创兴%周仁彬%马廉
莊婉莉%林廣裕%鄭紅%陳派鎮%林創興%週仁彬%馬廉
장완리%림엄유%정홍%진파진%림창흥%주인빈%마렴
脓毒症%脑病%诊断%治疗
膿毒癥%腦病%診斷%治療
농독증%뇌병%진단%치료
Sepsis%Encephalopathy%Diagnosis%Therapy
目的 探讨脓毒症相关性脑病患儿的早期临床诊断与治疗策略.方法 对9例脓毒症相关性脑病患儿,根据其临床表现,按个体化原则采用早期综合加强策略控制脓毒症外,尽早大剂量血浆、丙种球蛋白(IVIG)调整免疫平衡,并加用小剂量甘露醇、鲁米那等保护脑功能并积极控制抽搐状态.结果 9例脓毒症患儿存活6例,死亡3例.结论 针对脓毒症复杂的病理生理和免疫失衡,运用早期综合加强策略控制脓毒症,防止多器官功能不全加重,早期诊断和治疗脓毒症相关性脑病,可显著提高存活率,降低病死率.
目的 探討膿毒癥相關性腦病患兒的早期臨床診斷與治療策略.方法 對9例膿毒癥相關性腦病患兒,根據其臨床錶現,按箇體化原則採用早期綜閤加彊策略控製膿毒癥外,儘早大劑量血漿、丙種毬蛋白(IVIG)調整免疫平衡,併加用小劑量甘露醇、魯米那等保護腦功能併積極控製抽搐狀態.結果 9例膿毒癥患兒存活6例,死亡3例.結論 針對膿毒癥複雜的病理生理和免疫失衡,運用早期綜閤加彊策略控製膿毒癥,防止多器官功能不全加重,早期診斷和治療膿毒癥相關性腦病,可顯著提高存活率,降低病死率.
목적 탐토농독증상관성뇌병환인적조기림상진단여치료책략.방법 대9례농독증상관성뇌병환인,근거기림상표현,안개체화원칙채용조기종합가강책략공제농독증외,진조대제량혈장、병충구단백(IVIG)조정면역평형,병가용소제량감로순、로미나등보호뇌공능병적겁공제추휵상태.결과 9례농독증환인존활6례,사망3례.결론 침대농독증복잡적병리생리화면역실형,운용조기종합가강책략공제농독증,방지다기관공능불전가중,조기진단화치료농독증상관성뇌병,가현저제고존활솔,강저병사솔.
Objective To approach the strategy of clinical diagnosis and therapy of sepsis-associated encephalopathy(SAE) in children early. Methods Nine children accepted combination therapy,inclding large blood plasm and IVIG to adjust immunologic balance,mannitol and lunimmal to control spasm of SAE. Results 6 patiens were cured and 3 patiens died. Conclusion Using early combination therapy to sepsis and invent the aggravation of multiple organ dysfunction syndrome,diagnosing early and therapiing of SAE in children can raise survival rate and reduce death rate.
