小儿肺炎患者血渗透压改变与治疗的临床研究

Clinical Research on Change and Therapy in the Blood Osmotic Pressure of Infantile Pneumonia

目的对小儿肺炎患者的血渗透压改变情况进行分析,诊断患儿是否伴发抗利尿激素异常分泌综合征,并对输液治疗的疗效进行研究.方法以2010年3月—2011年3月治疗的240例小儿肺炎患者为研究对象,采集研究对象静脉血,检测血糖、电解质及尿素氮等,并计算出患儿的血渗透压.根据计算结果确定输液方法.结果研究对象中伴发抗利尿激素异常分泌综合征患儿22例,占9.17%;患儿经提高液体张力和控制输液量治疗后均获痊愈.结论抗利尿激素异常分泌综合征是小儿肺炎患者常见的并发症,根据患儿血渗透压情况采取适当方式的输液治疗可以治愈,为临床治疗和预防抗利尿激素异常分泌综合征提供了新的思路.

Objective To analyze changes of blood osmotic pressure of children patients with pneumonia,diagnoze if the children patients were complicated with syndrome of inappropriate antidiuretic hormone secretion,and to study the curative effect of transfusion therapy.Method 240 patients with infantile pneumonia treated in our hospital from March 2010 to March 2011 were taken as the research objects,the samples of venous blood,electrolytes and urea nitrogen were collected for the detection,and the babys' blood osmotic pressures were calculated.According to the result of calculation,the infusion method was determined.Results There were 22 cases with the syndrome of inappropriate antidiuretic hormone secretion,accounting for 9.17%;after the tre-atment with improving the liquid tension and controlling the transfusion amount,the patients were cured.Conclusion The syndrome of inappropriate antidiuretic hormone secretion is a common complication in patients with pediatric lung inflammation.The children with it could be cured with an appropriate infusion therapy according to the severity.