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血气与电解质分析在不同程度新生儿窒息中的临床意义 被引量:1

The clinical significance of blood gas and electrolyte analyses in varying degrees of neonatal asphyxia
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摘要 目的了解血气与电解质分析在不同程度新生儿窒息中的变化情况。方法选取在该院新生儿科住院的136例窒息新生儿,根据窒息程度分为重度窒息和轻度窒息两组,采用雷度米特医疗设备上海有限公司生产的ABL77Series血气分析仪进行动脉血血气分析,观察其变化情况,同时检测血清电解质。结果重度窒息组的血pH值、BE值均明显低于轻度窒息组;而PaCO2高于轻度窒息组,差异有统计学意义(P<0.01),重度窒息患儿血Ca2+明显低于轻度窒息者,差异有统计学意义(P<0.01)。结论及时监测窒息患儿的血气和电解质,观察其变化可有助于了解病情变化,指导临床治疗,具有重要的临床意义。 [Abstract] Objective To understand changes of blood gas and electrolyte analyses in varying degrees of neo- natal asphyxia. Methods 136 cases with neonatal asphyxia were selected from hospital,they were divided into severe asphyxia group and mild asphyxia group according to the degree of asphyxia. Arterial blood gas analysis was taken by ABL77 series arterial blood gas analyzer which was produced by radiometer Mitt Shanghai Co. , Ltd. Meanwhile changes of these were observed,and serum electrolytes were tested. Results The values of PH and BE in severe asphyxia group were significantly lower than mild asphyxia group, and PaCO2 in severe asphyxia group was significantly higher than mild asphyxia group(P〈0.01). Ca2+ in severe asphyxia group was significantly lower than mild asphyxia group (P〈0.01). Conclusion Timely monitoring on blood gas and electrolyte asphyxia, and observation of the changes have important clinical significance for neonatal asphyxia treatment.
作者 杨玲 苏国生
出处 《检验医学与临床》 CAS 2012年第5期550-551,共2页 Laboratory Medicine and Clinic
关键词 血气分析 新生儿 窒息 blood gas analysis newborn asphyxia
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