摘要
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。
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.
出处
《中国当代医药》
2014年第30期180-181,186,共3页
China Modern Medicine
关键词
儿童
捂热综合征
相关因素
Children
Muggy syndrome
Related factor
