32例新生儿重型腹泻的血气与临床分析

Clinical Research on Blood Gas in 32 Cases of Serious Neonatal Diarrhea.

测定重型腹泻新生儿32例,血气改变均为急性酸硷失衡,其中单纯性酸硷失衡68.8％,混合性酸硷失衡31.2％,经酸硷失衡代偿预计公式计算及酸硷图对照。新生儿重型腹泻所致的脱水酸中毒临床表现程度与pH,PCO_2,SB下降的多寡有关。并对有关问题进行了讨论。

By determining 32 cases of serious neonatal diarrhea,it was found that the blood gas changes were all acute acidbase unbalance. Among those, pure acidbase unbalance was 68.8%, and mixed acid-base unbalance 31.2%。Compared with the compensatory estimation formula and acid-base diagram of acid-base unbalance compensation, most of mixed acid-base unbalance were metabolic acidosis merged with respiratory acidosis. The clinical symptoms of dehydration acidosis were related to the amount of decrease of pH,PCO_2 and SB. Problems concerned are also discussed in the paper.