摘要
目的探讨重症肺炎合并电解质紊乱的原因,治疗和预后。方法采用7170—A型全自动生化分析仪检测112例重症肺炎患者的电解质,并时患者的临床表现及预后进行统计分析。结果112例中低钠血症者66.1%,低钾血症者42.9%。74例重症肺炎伴低钠血症者,治愈及好转者51.4%;38倒不伴低钠血症者,治愈及好转者71.1%,P<0.01。低钠血症纠正成功者46例,其中治愈及好转者63.0%;而低钠血症纠正失败者28例.其中治愈及好转者1 7.9%。P<0.01。48例重症肺炎伴低钾血症者,治愈及好转者52.1%;64例不伴低钾血症者,治愈及好转者68.8%,P<0.01。成功纠正低钾血症者32例,其中治愈及好转者62.5%;低钾无法纠正者16例,治愈及好转者25.0%,P<0.01。结论重症肺炎常合并电解质紊乱,常规检测电解质,及时发现并纠正电解质紊乱尤其是低钠血症及低钾血症能明显提高重症肺炎的好转及治愈率。
Objective Investigate the cause,therapy and progonosis of patients who suffer from severe pneumonia complicated with electrolyte disorder.Methods Test electrolyte of patients who suffer from severe pneumonia by using automatic biochemistry analyzer.Results Healings and improvement rate in 74 patients with hyponatremia is lower than those in 38 patients without hyponatremia(P<0.01);Healings and improvement rate in 46 patients with hyponatremia successfully corrected is higher than those in38 patients with...
出处
《中国医药指南》
2008年第21期40-41,共2页
Guide of China Medicine
关键词
重症肺炎
电解质紊乱
低钠血症
低钾血症
Severe Pneumonia
Electrolyte Disorder
Hyponatremia
Hypokalemia
