期刊文献+

小儿结脑水电解质和酸碱平衡紊乱临床类型的鉴别和处理 被引量:1

Differentiation and Treatment of Clinical Types of Water,Electrolyte and Acid-Base Imbalance in TB Meningitis in Children
下载PDF
导出
摘要 本文报告中晚期儿童结脑伴水电解质紊乱48例,病儿多属混合性酸碱紊乱。多为低钠血症和代谢性碱中毒,严重低钠血症可致病情加重、诱发惊厥、昏迷甚至死亡。代谢性碱中毒多系持续性颅压高,顽固性呕吐和不能进食引起,并难于纠正。待呕吐停止,进食后代碱即见好转。长期应用激素和利尿脱水剂不是引起代碱的主要原因。 Water-electrolyte and acid-base disturbances were usually seen in the second andlate stages of tuberculous meningitis in children. They were mostly of a mixed type.Low serum sodium and metabolic alkalosis occurred more commonly. Severe hypona-tremia could worsen the patient's situation and evoke convulsions or coma, evendeath.Metabolic alkalosis was due to persistent high CSF pressure, persistent vomitingand difficulty in eating. It was difficult to correet. By stoping vomiting and imp-roving oral intake, metabolic alkalosis might be improved. A longer period of treat-ment with steroid and diuretics were not the major causes of metabolic alkalosis.
机构地区 天津市儿童医院
出处 《天津医药》 CAS 1990年第9期526-529,共4页 Tianjin Medical Journal
关键词 儿童 结脑病 诊断
  • 相关文献

参考文献1

共引文献1

同被引文献5

  • 1范永琛,牛建萍,徐风铎,李慧芬.18例结核性脑膜炎血—脑脊液异烟肼、利福平、吡嗪酰胺浓度测定[J].天津医药,1989,17(10):609-611. 被引量:2
  • 2范永琛 穆增蕊 赵维美 等.儿童结核性脑膜炎的治疗问题(157例分析)[J].中国防痨通讯,1980,(4):25-30.
  • 3Donald PR,Schoeman JF.Tuberculous meningitis[J].N Engl J Med,2004,351:1719-1720.
  • 4Miller FJW,Scal RME,Taylor MD.Tuberculosis in children[M].London:JZA Churchill Ltd,1963:14.
  • 5Ahluwalia G,Ahiuwalia A,Gupta K,et al.Extrapulmonary tuberculosis part 2:CNS involvement[J].J Respir Dis,2005,26(9):392-400.

引证文献1

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部