摘要
本文分析报告55例婴幼儿病毒性肺炎血气及酸碱度改变。结果:PCO2均值(5.90±1.55kPa)为正常值之高限,与病情正相关。PO2(9.04±3.28kPa)、O2sat(91.8±8.98%)均值较正常值低,随病情的加重而下降。10例(18.2%)出现呼吸衰竭。以腺病毒感染多见,10例出现酸中毒,以混合性酸中毒为多;代碱14例(25.5%),大多医源性所致。提示儿童病毒性肺炎易引起呼吸衰竭及酸碱失衡。强调抗病毒治疗和超声雾化吸入等综合治疗措施。
he paper studied blood gas and pH value in 55 infantile patients with viruspneumonia;Resuls:PCO2 average value(5.90 + 1.55kPa)was at the highest level of normal range,positively correlated to severity of disease; PO2(9.04 + 3.28kPa)and O2 sat (91. 18 + 8.98%)low-er than the norm,and decreased as diseased worse. 10 patients(18.2%)presented respiratory fail-ure,which were most frequently seen in adenovirus infection;10 patients presented with acidosis,mainly mixed acidosis; 14 presented matabolic alkalosis,mainly were iatrogenic;The study revealsthat virus pneumonia can frequently result in acid-base imbalance,and a complex managementwith emphasis on anti一virus therapy and ultrasonic nebulization is very important.
出处
《九江医学》
1996年第4期205-207,共3页
Jiujiang Medical Journal