毒鼠强中毒与低钙血症的相关性

Correlation between Tetramine Poisoning and Hypocalcemia in Children

目的探讨毒鼠强中毒与低钙血症的相关性。方法根据小儿危重病例评分法将毒鼠强中毒患儿分为危重组（70～90分）和极危重组（〈70分）；对照组为门诊健康体检儿童。比较各组血清总钙水平、不同血钙水平、多器官功能障碍综合征（MOD6）发生率及死亡率。结果毒鼠强中毒组血钙水平明显低于对照组，且与病情严重程度呈正相关；血钙越低，MODS发生率及死亡率越高。结论毒鼠强中毒可导致低钙血症，血钙越低，病情越重，预后越差。

Objective To investigate the correlation between tetramine poisoning and hypocalcemia in children. Methods According to different severe cases grade, tetramine poisoning children were divided into critical group （70- 90 score）, extremely critical group （〈 70 score）. Control group were healthy children examined in outpatient service. The blood calcium level of each group,the incidence and fatality of multiple organ dysfunction syndrome（MODS） on different blood calcium level were compared. Results The blood calcium level of tetramine poisoning group was apparently lower than that of control group,and coincident with severity degree of condition. The blood calcium was lower and the incidence and fatality of MODS were higher. Conclusions Tetramine poisoning can lead to hypocalcemia. As the blood calcium level is lower, the condition is severer and the prognosis is worse.