高海拔地区小儿缺氧性脑病的研究

THE RESEARCH OF THE CHILDREN'S HYPOXIA ENCEPHALOPATHY IN XINING

本文观察小儿重症肺炎所致的急性缺氧性脑病２０例，多数病例年龄在１岁以下，临床上除肺炎症状外，主要表现为嗜睡、昏迷及惊厥，更应注意患儿有凝视、呻吟不安、咬牙、吐舌等早期意识障碍的表现。血氧及脑脊液氧休分析：多数病例ＰａＯ＿２下降、ＰａＣＯ＿２偏高，脑脊液ＰＨ值偏低在７．３８以下，对诊断缺氧性脑病有参考意义。

he article reviewed 20 cases of children' s hypoxia encephalopathy,the age of most cases wasbelow 1 year old. The symptoms were somnolence,coma and convulsions,if the patients appeared the gruntingand restlessness,gaze,odontoprisis,such signs of the conscious disturbances,it must be noticedthese early symptoms of the hypoxia encephalopathy. The gas analysis of cerebral spinal fluid is a newly method,most cases PaO_2 descending andPaCO_2 elevated,especially PH below 7.38 have diagnostic value.