摘要
研究目的婴儿捂热综合征血乳酸含量与乳酸性酸中毒的临床特点及其防治。研究方法采用ＳＢＡ－３０型Ｌ－乳酸分析仪与ＡＢＬ－３０型酸碱气体分析仪，患儿入院时作血生化、血气计算ＡＧ值，同步检测血乳酸，治疗时作动态测试。检测４０例健康婴儿作为对照。研究结果健康婴儿均值１．４９±０．２２ｍｍｏｌ／Ｌ，凡超过者判为高乳酸块血症。检测组１５例中８例均值３．３１±０．３０ｍｍｏｌ／Ｌ，６例均值１１．９１±１．６ｍｍｏｌ／Ｌ，伴ｐＨ值下降，为乳酸性酸中毒；１例恢复期１．５ｍｍｏｌ／Ｌ。动态测试乳酸值随着病情好转而恢复正常。结论婴儿捂热综合征患儿均有高乳酸块血症或乳酸性酸中毒的存在，遵循上述特点为防治乳酸性酸中毒提出了治疗原则。
Objectives To seach for the lactic acid concentration of infant muggy syndrome and the clinical characteristics, prevention and treatment of lactic acid.Methods The blood biochemistry, gas and lactic acid were determined by SBA-30 type lactic acid analyzer and ABL-30 type acid-base gas analyzer, and the AG value was calculated for the in- patients. Dynamic determination was carried out when treatment. There was 40 healthy infants in cntrol group, and the blood biochemistry, gas and lactic acid of them were determined too.Results The average value of blood lactic acid in the control group was 1.49±0.22mmol/L.It was regarded as hyperlac.icacidemia that the value of lactic acid was more han. Eight of the 15 cases in the test group, the average value of blood lactic acid was 3.31±0.30mmol/L, these were regarded as hyperlacticacidemia. That of 6 cases was 11.91±1.60mmol/L, and the pH value was lower,the 6 cases were regarded as lactic acidosis. Along with the restoration of patients' condition, the value of lactic acid was decreased gradually.Conclusions.The patients with infant muggy syndrome are often complicated by hyperlacticacidemia or lactic acidosis The preventive and therapeutic principles could be pointed out according to the above-mentioned clinical characteristics.
出处
《实用儿科临床杂志》
CAS
CSCD
1996年第1期9-11,共3页
Journal of Applied Clinical Pediatrics
关键词
血乳酸
乳酸性酸中毒
婴儿捂热综合征
blood lactic acid
lactic acidosis
blood lactic acid measurement
infant muggy syndrome
