婴幼儿病毒性肺炎55例血气和酸碱度分析

ANALYSIS ON BLOOD GAS AND pH VALUE IN 55 INFANTILE PATIENTS WITH VIRUS PNEUMONIA

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.