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   小儿重症肺炎 在 儿科学 分类中 的翻译结果: 查询用时:0.193秒
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小儿重症肺炎
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According to the criteria of blood gas, 19 cases were diagnosed as respiratory failure, but only 13 cases were clinical diagnosis. 6 cases were mistaken, accounting for 31.6%. Of the 34 cases, mixed acidosis was less than metabolic alkalosis. The cause and harmfulness of metabolic alkalosis in severe pneumonia were discussed as well.

本文分析了34例小儿重症肺炎的血气和酸碱度。根据血气分析指标诊断为呼吸衰竭者共19例,而凭临床诊断为呼吸衰竭者仅13例,漏诊6例,占31.6%。本组病例的酸硷紊乱,混合性酸中毒少于代谢性硷中毒。并对代谢性硷中毒在重症肺炎病程中发生的病因和危害性略加讨论。

75 cases of the infantile acute respiratory failure(AkF) caused by seriously pnenmonia at the high altitude. By the clinical observation and laboratory findings, we considered that: 1. The blood gas diagnosis criteria of ARF,it must different from the plain,the PaO_2≥6.0kPa (45mmHg) ,PaCO_2≤5.33kPa(40mmHg) seems suitably. 2. The AkF group's serum isoenzyme activity measurements, such as AST、CK、HBD、GGT are higher than the control group. 3. The ARF infantile patients at the high altitude, due to hypoxia, and the...

75 cases of the infantile acute respiratory failure(AkF) caused by seriously pnenmonia at the high altitude. By the clinical observation and laboratory findings, we considered that: 1. The blood gas diagnosis criteria of ARF,it must different from the plain,the PaO_2≥6.0kPa (45mmHg) ,PaCO_2≤5.33kPa(40mmHg) seems suitably. 2. The AkF group's serum isoenzyme activity measurements, such as AST、CK、HBD、GGT are higher than the control group. 3. The ARF infantile patients at the high altitude, due to hypoxia, and the disoreders of the microcirculation flows, so the incidence of the multi—system organs failure is high than the plain area, and more seriously.

对来自不同海拔高度的高原地区25例小儿重症肺炎所致的急性呼吸衰竭患儿,进行了临床与实验室检查等项目的观察,认为:①高原地区小儿急性呼吸衰竭的血气诊断标准,应与平原地区有所区别,以PaO_2≤6kPa、PaCO_2≥5.33kPa为合适;②呼衰组患儿的血清AST、CK、HBD、GGT等活性酶的测定明显高于健康对照组,反映了呼衰所致的多系统器官受损害的程度;③高原地区小儿呼衰由于缺氧与器官微循环流态紊乱的因素,多系统器官功能衰竭的发生率高,且症状更严重。

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本文观察小儿重症肺炎所致的急性缺氧性脑病20例,多数病例年龄在1岁以下,临床上除肺炎症状外,主要表现为嗜睡、昏迷及惊厥,更应注意患儿有凝视、呻吟不安、咬牙、吐舌等早期意识障碍的表现。血氧及脑脊液氧休分析:多数病例PaO_2下降、PaCO_2偏高,脑脊液PH值偏低在7.38以下,对诊断缺氧性脑病有参考意义。

 
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