小儿重型肺炎并急性胃肠功能衰竭的临床分析  

Clinical Analysis of Severe Pneumonia with Acute Gastrointestinal Failure in Children

作　　者：李增花 

机构地区：[1]山东省莒南县人民医院,276600

出　　处：《职业与健康》2009年第3期328-329,共2页Occupation and Health

摘　　要：目的探讨儿童重型肺炎并急性胃肠功能衰竭的发病机制、诊断与治疗问题。方法对2002年10月—2007年10月山东省莒南县人民医院儿科收治的17例重型肺炎并急性胃肠功能衰竭的患儿进行回顾性分析。结果17例患儿中基础疾病为支气管肺炎的10例,毛细支气管炎的7例。表现为应激性溃疡出血需输血治疗的2例,占11.7%;中毒性肠麻痹、高度腹胀的14例,占82.4%;坏死性小肠结肠炎的1例,占5.8%。治愈15例,治愈率88.2%;死亡2例,病死率11.7%。结论重型肺炎并急性胃肠功能衰竭的发病机制与缺氧关系密切,缺氧缺血时胃黏膜最易受累,其他器官受累的同时或以后出现功能衰竭。因此积极有效地防治小儿肺炎,重视胃肠功能衰竭的早期诊断,严密监护,采取有效的治疗方法是降低重型肺炎并急性胃肠功能衰竭的发生率和病死率的重要环节。[Objective] To explore pathogenesis, diagnosis and treatment of severe pneumonia with acute gastrointestinal failure in children. [Methods] A retrospective analysis was conducted on the data of 17 cases of severepneumonia with acute gastrointestinal failure diagnosed in Junan People＇s Hospital from October 2002 - October 2007. [Results] Of 17 cases, 10 cases＇underlying diseases were bronchopneumonia. 2 （ 11.7% ） with stress ulcer bleeding needed blood transfusion. 14 （ 82.4% ） were toxic enteroparalysis and severe abdominal distension. 1（5.8% ） was necrotizing enterocolitis. 15 （88.2%） were cured. 2 （11.7%） were died. [Conclusion] The pathogenesis of severe pneumonia and acute gastrointestinal failure has close relationship with hypoxia, and gas- tric mucosa was most susceptibly involved, the failure occurred with or after the involvement of other organs happened. So positive and effective prevention and treatment of pneumonia in children, early diagnosis of gastrointestinal failure, intensive care, and effective treatment are important links to reduce incidence and mortality of severe pneumonia and acute gastrointestinal failure.

关 键 词：儿童 肺炎 胃肠功能衰竭 诊断 治疗 

分 类 号：R725.6[医药卫生—儿科]