摘要
目的对重症肺炎和毛细支气管炎的血气分析进行比较。方法选取2010年1月—2012年10月期间,该院收治的重症肺炎和毛细支气管炎患儿各50例。其中重症肺炎组中,男28例,女22例;年龄为0～3.5岁,平均年龄为(1.2±0.6)岁。毛细支气管炎组中,男27例,女23例,年龄为0.2～3.3岁,平均年龄为(1.1±0.5)岁。取2组病例的桡动脉血,进行血气分析,并进行相关数据的比较和分析。结果重症肺炎患儿pH值未见偏高者,而毛细支气管炎患儿则有12%者pH值偏高,两者差异有统计学意义(P<0.05);毛细支气管炎患儿,仅8%者PaCO2指标偏低,而重症肺炎患儿中有50%者偏低,两者差异有统计学意义(P<0.05);重症肺炎患儿中90%者PaO2指标偏高,这与毛细支气管炎经比较,差异有统计学意义(P<0.05)。结论血气分析在临床诊断重症肺炎及毛细支气管炎中具有重要的作用,临床医生能够通过相关指标对患儿的酸碱平衡紊乱及低氧血症状况加以把握。
Objective To analysis and compare the blood gas of patients with severe pneumonia and capillary bronchitis. Methods Seleced 50 patients with severe pneumonia and 50 ones with capillary bronchitis whom were treated in our hospital during January 2010 to October 2012. In the patients who were with severe pneumonia, there were 28 males and 22 females ; the age of them were between 0 and 3.5 years old, the average age was（1.2±0.6） years old. In the patients who were with capillary bronchitis, there were 27 males and 23 females, the age of them were between 0.2 and 3.3 years old, the average age was（1.1±0.5） years old. Get the two kinds of patients＇ blood from radial artery blood, compared and analysed the result of results of blood gas analysis . Results There were no child＇s pH was too high whom was with capillary bronchitis, but there were 12% ones＇pH of the children with severe pneumonia were higher than normal, there were obviously difference（P〈0.05 ）. There were only 8% of the children with severe pneumonia got a lower PaCO2 value, while 50% of the children with bronchiolitis got a lower PaCO2 Value, there were ob- viously difference （P〈0.05）.There were 90% of the children with bronchiolitis got a higher PaO2 Value, which was different from the children with severe pneumonia obviously. Conclusion The blood gas analysis is an important in the clinical diagnosis of severe pneumonia and bronchiolitis, clinicians can be grasped in the acid-base equilibrium disorder and hypoxemia situation through the relevant index.
出处
《中外医疗》
2013年第20期41-43,共3页
China & Foreign Medical Treatment
关键词
重症肺炎
毛细支气管炎
血气分析
Severe pneumonia
Capillary bronchitis
Blood gas analysis
