婴儿捂热综合征43例临床分析  

Clinical analysis of 43 infants with muggy syndrome

作　　者：徐忠[1] 柏振江[1] 谢敏慧[1] 李莺[1] 华军[1] 

机构地区：[1]苏州大学附属儿童医院ICU,江苏省215003

出　　处：《江苏医药》2013年第2期191-193,共3页Jiangsu Medical Journal

摘　　要：目的探讨捂热综合征死亡患儿的临床特点。方法回顾性分析43例捂热综合征患儿临床资料;其中,死亡7例(死亡组),存活36例(存活组)。结果死亡组患儿的平均热峰(40.82±0.95)℃,明显高于存活组患儿的(39.87±1.01)℃(P<0.05),抽搐、昏迷、休克和弥散性血管内凝血(DIC)的发生率及第3代小儿死亡危险评分(PRISMⅢ)均高于存活组(P<0.05),小儿危重病例评分(PCIS)、氧合指数(OI)、pH值、前白蛋白(PA)和白蛋白(Alb)均低于存活组(P<0.05);血糖(Glu)、WBC计数和Na+浓度高于存活组(P<0.05)。结论捂热综合征死亡患儿易出现超高热、昏迷、抽搐、休克和DIC,OI、Glu和Na+浓度以及PCIS评分和PRISMⅢ评分均有助于早期病情的判断和及时处理。Objective To investigate the clinical and laboratorial characteristics of dead infants with muggy syndrome. Methods Data of 43 infants with muggy syndrome were retrospectively analyzed, of whom 7 cases died（group A） and 36 cases were survial（group B）. Results The peak temperature was higher in group A than that in group B [（40.82±0.95）℃ vs.（39.87±1.01）℃]（P〈0.05）. The incidence rates of seizure,coma,shock and DIC and PRISM Ⅲ scores were all higher in group A than those in group B（P〈0.05）.Compared to group B,the infants of group A had lower PCIS score,oxygenation index（OI）,pH value,and the levels of prealbumin（PA） and albumin（Alb）, and higher glucose（Glu）,WBC count and natrium（Na＋）（P〈0.05）. Conclusion Of the infants with muggy syndrome,dead cases are with higher temperature,incidence rates of coma,seizure,shock and DIC.Examinations of OI,plasma concentrations of Glu and Na＋,and PCIS and PRISM Ⅲ scores are helpful for early diagnosis and therapy.

关 键 词：婴儿捂热综合征 

分 类 号：R720[医药卫生—儿科]