50例小儿重症肺炎并发颅内压增高临床分析  

Clinical Analysis of 50 Cases of Severe Pneumonia Complicated with Intracranial Hypertension

作　　者：高胭[1] 李晓玲[1] 祝伟[1] 

机构地区：[1]河南省漯河市中心医院儿科,462000

出　　处：《实用全科医学》2007年第10期887-888,共2页Applied Journal Of General Practice

摘　　要：目的探讨重症肺炎血气改变与颅内高压的关系。方法对50例重症肺炎呼吸衰竭患儿的脑脊液压力进行测定。结果小儿重症肺炎并发颅内高压发生率为82%。脑脊液压力增高与血pH、PaO2、HCO3-呈负相关;与PaCO2呈正相关;颅内压增高程度与呼吸衰竭类型、程度有关。结论脑脊液压力增高是导致重症肺炎呼吸衰竭加重致死的重要因素之一。抢救重症肺炎呼吸衰竭患儿,改善通气,早期给氧,适当应用脱水剂降低颅内压,非常必要。Objective To explore the relationship between blood gas ehanges and intraeranial hypertension in ehildren with Severe pneumonia. Methods Cerebrospinal pressure of 50 eases with severe pneumonia and respiratory failure was deteeted. Results The ineidenee of intraeranial hypertension eomplieated by severe pneumonia was 82%, High eerebrospinal pressure was eorrelated positively with pH, PaO2 and HCO3ˉ, and eorrelated negatively with PaCO2. The degree of intraeranial hypertension was related with the type and degree of respiratory failure, Conclusions High eerebrospinal pressure is one of the important faetors resulting in death in children with severe pneumonia and respiratory failure. It＇s very important to ameliorate ventilation ,supply oxygen in early stage and use dehydrating agent to reduee intraeranial pressure in rescuing ehildren with severe pneumonia and respiratory failure.

关 键 词：重症肺炎 颅内高压 血气改变 

分 类 号：R563.1[医药卫生—呼吸系统]