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px231858
Wysłany: Sob 1:19, 19 Mar 2011
Temat postu: tn requin pas cher Super- infection of the wound h
Super-infection of the wound healing of laser for clinical analysis
70 cases were. Fourth Military Medical University, 2003. 24 (23): 2161. 【3】 DIANZI, more than compliance, Song Court. And so on. Super laser to treat the effects of acute and chronic pain in 315 cases observed fj】. Clinical Rehabilitation, 2006,110 (1): ll6. Received: 2 (K16-10-24 acid-base imbalance in infants with severe pneumonia, the clinical significance of Lu Yurong '(Yibin City Second People's Hospital of Pediatrics. Yibin, Sichuan 644000) Abstract Objective: Infants with severe pneumonia and blood gas analysis and acid alkaline imbalance factors, in order to reduce pneumonia mortality rate of children. Methods: 92 cases of clinically diagnosed severe pneumonia l in children with arterial blood gas analysis,
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, combined with the electrolyte results were analyzed to identify the type of acid-base imbalance, and Analysis of the prognosis. Results: 92 patients with severe pneumonia in children exist in varying degrees of acid-base imbalance and electrolyte imbalance, which mixed acidosis in 62 cases (67%), simple respiratory acidosis in 24 patients (26%), simple metabolic acidosis in 6 patients (7%),
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, combined metabolic acidosis in children with most severe disease, the prognosis is poor; pneumonia in children with congenital heart disease easily combined metabolic acidosis (100%). 35 cases of severe combined electrolyte disorder in children with pneumonia, of which 25 cases of hyponatremia (71%), hypokalemia in 6 cases (17%), hypocalcemia in 4 cases (12%). Conclusion: Treatment of infants with severe In addition to anti-infection in children with pneumonia,
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, the improvement of airway patency than simply correct the acidosis with alkali is more important,
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, and should maintain water and electrolyte balance. on the consolidated income children with congenital heart disease, while maintaining the smooth breathing,
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, to actively correct the acidosis . 【Key Words】 pneumonia; complications; playing children; blood gas analysis in Article ID :1009-5519 (2007l04-0498-02 CLC number: R72 Document code: A children with severe pneumonia and severe respiratory symptoms in addition to outside. also often complicated with respiratory failure, heart failure, toxic encephalopathy, shock, embolism is one of pediatric critically ill patients. to infants and young children more common in infants and young children during the main cause of death fl1. severe pneumonia. Since alveolar inflammation caused by pulmonary edema and congestion through ventilation dysfunction Erzhi hypoxemia and hypercapnia can lead to acid-base balance disorders. In this paper, 92 cases of severe pneumonia in children with blood gas analysis results were analyzed with the electrolyte to investigate the acid-base imbalance and Effect to better guide clinical treatment. 1 Data and methods 1.1 General Information :2001-2002, total income children with severe pneumonia were admitted 92 patients (aged <3 years), congenital heart disease Jr, 20 例, diagnostic criteria are in line with <Practical Pediatrics) diagnostic criteria for severe pneumonia on the field, by the infection. excluded due to other factors, the possibility of severe pneumonia. One male 63, female 29 cases, 06 months, 54 patients. - 12 months in 19 cases, -18 months in 8 cases, 6 cases of a 24 months months, 36 months, 2 patients a mean age of 1.2 years. 1.2 assisted diagnosis: the patients were admitted to hospital the same day in the femoral artery pumping blood. with the Swiss-xue analysis of AVL blood gas analyzer, while blood line electrolytes potassium, sodium, chloride, calcium, magnesium examination. 92 cases of pneumonia confirmed by chest radiography were there, suspected of having congenital heart disease by cardiac Doppler Le ultrasound confirmed. 1.3 Statistical analysis: statistical software system line of graves by SPSs x eyelid experience. 2 2.1 The results of acid-base balance disorders: 92 patients had varying degrees of acid-base balance disorders, including mixed acid poisoning in 62 cases (67%), simple acid poisoning in 24 patients (26%), metabolic acidosis in 6 patients (7%). combined with congenital heart disease have metabolic acidosis neutral. 2. 2 electrolyte disorders: 92 cases of children, there are 35 cases of severe electrolyte imbalance. mixed acidosis 3O cases, including 25 cases of hyponatremia, hypokalemia in 6 cases. hypocalcemia in 4 cases. congenital heart disease children with varying degrees of electrolyte imbalance Jieyou. 2.3 Prognosis: 92 cases of children, cured in 66 cases, 16 cases improved, not cured (AAD) in 8 cases and 2 deaths (see Table 1). Table 192 patients The prognosis of severe pneumonia in children between acid-base imbalance (cases) 3 to discuss infant with severe pneumonia is a life-threatening critical illness, treatment shall be timely and accurate. this group of patients showed that severe pneumonia in children with respiratory acidosis than metabolic acidosis, which is narrow infant airway, inflammatory secretions easy to plug, in addition to cough, inability to exclude poor secretion, causing ventilatory dysfunction, and metabolic acidosis associated with the most critical condition with severe pneumonia in children. treatment such children. early airway should be maintained, timely elimination of respiratory secretions to reduce carbon dioxide
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