中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
30期
180-181,186
,共3页
儿童%捂热综合征%相关因素
兒童%捂熱綜閤徵%相關因素
인동%오열종합정%상관인소
Children%Muggy syndrome%Related factor
目的：观察和分析捂热综合征的死亡危险因素及临床特点。方法收集入本院急诊中心的捂热综合征患儿38例进行研究，其中死亡组12例，存活组26例，观察并统计两组的体温，小儿危重病历评分(PCIS)等临床表现，测定并分析两组的pH、Ca2+、Na+、血糖、乳酸、白蛋白、血浆渗透压和脑钠肽等实验室指标。结果死亡组的平均体温高于存活组，PCIS低于存活组(P<0.05)。存活组的MODS、DIC和呼吸衰竭发生率均明显低于死亡组(P<0.05)。死亡组的pH、Ca2+和白蛋白检测值均明显低于存活组(P<0.05)。死亡组的Na+、血糖、乳酸、血浆渗透压和脑钠肽值均明显高于存活组(P<0.05)。结论患儿体温、PCIS等临床表现和患儿pH、Ca2+、Na+、血糖、乳酸、白蛋白、血浆渗透压和脑钠肽等与捂热综合征病死率密切相关，应严密监测患儿相关指标以降低病死率，提高治疗效果。
目的：觀察和分析捂熱綜閤徵的死亡危險因素及臨床特點。方法收集入本院急診中心的捂熱綜閤徵患兒38例進行研究，其中死亡組12例，存活組26例，觀察併統計兩組的體溫，小兒危重病歷評分(PCIS)等臨床錶現，測定併分析兩組的pH、Ca2+、Na+、血糖、乳痠、白蛋白、血漿滲透壓和腦鈉肽等實驗室指標。結果死亡組的平均體溫高于存活組，PCIS低于存活組(P<0.05)。存活組的MODS、DIC和呼吸衰竭髮生率均明顯低于死亡組(P<0.05)。死亡組的pH、Ca2+和白蛋白檢測值均明顯低于存活組(P<0.05)。死亡組的Na+、血糖、乳痠、血漿滲透壓和腦鈉肽值均明顯高于存活組(P<0.05)。結論患兒體溫、PCIS等臨床錶現和患兒pH、Ca2+、Na+、血糖、乳痠、白蛋白、血漿滲透壓和腦鈉肽等與捂熱綜閤徵病死率密切相關，應嚴密鑑測患兒相關指標以降低病死率，提高治療效果。
목적：관찰화분석오열종합정적사망위험인소급림상특점。방법수집입본원급진중심적오열종합정환인38례진행연구，기중사망조12례，존활조26례，관찰병통계량조적체온，소인위중병력평분(PCIS)등림상표현，측정병분석량조적pH、Ca2+、Na+、혈당、유산、백단백、혈장삼투압화뇌납태등실험실지표。결과사망조적평균체온고우존활조，PCIS저우존활조(P<0.05)。존활조적MODS、DIC화호흡쇠갈발생솔균명현저우사망조(P<0.05)。사망조적pH、Ca2+화백단백검측치균명현저우존활조(P<0.05)。사망조적Na+、혈당、유산、혈장삼투압화뇌납태치균명현고우존활조(P<0.05)。결론환인체온、PCIS등림상표현화환인pH、Ca2+、Na+、혈당、유산、백단백、혈장삼투압화뇌납태등여오열종합정병사솔밀절상관，응엄밀감측환인상관지표이강저병사솔，제고치료효과。
Objective To observe and analyze the risk factor of death and clinical characteristic in muggy syndrome. Methods 38 infants with muggy syndrome in our hospital emergency center were collected.Death group had 12 infants and survival group had 26 infants.Temperature,pediatric critical medical score (PCIS)and some other clinical manifesta-tions in two groups was observed and counted respectively.Laboratory indexes including pH,Ca2+,Na+,glucose,lactate,al-bumin,plasma osmolality and brain natriuretic peptide of two groups was measured and analyzed respectively. Results The average temperature of death group was higher than that of survival group,PCIS of death group was lower than that of survival group (P<0.05).Incidence rate of MODS,DIC and respiratory failure of survival group was lower than that of death group respectively (P<0.05).pH,Ca2+and albumin detection value of death group was lower than that of survival group respectively (P<0.05).Na+,glucose,lactate,plasma osmolality and brain natriuretic peptide value of death group was higher than that of survival group respectively(P<0.05). Conclusion Children temperature,PCIS and other clinical mani-festations and pH,Ca2+,Na+,glucose,lactate,albumin,plasma osmolality and brain natriuretic peptide are closely related to mortality of muggy syndrome.Close monitoring of relevant indicators in children can reduce mortality and improve the therapeutic effect.
