重型儿童腹泻病合并高渗血症78例治疗观察  

Clinical Analysis of 78 Cases of Diarrheal Diseases (Severe Type) with Hyperosmolar Hyponatremia

作　　者：杨钒[1] 郑毅文 周有祥[1] 王云[1] 

机构地区：[1]贵州省兴义市人民医院儿科,贵州兴义562400

出　　处：《中外医疗》2013年第12期84-84,86,共2页China & Foreign Medical Treatment

摘　　要：目的探讨重型儿童腹泻病并高渗血症的临床特点及疗效。方法选取该院儿科重型腹泻病合并高渗血症78例,按照脱水程度分为轻中度脱水组和重度脱水组,均给予药物综合治疗,比较两组患者的临床特点和治疗效果。结果重症腹泻易伴高血钠,高血糖性血渗透浓度升高,轻中度脱水组患者血钠,血糖和渗透浓度明显低于重度脱水组(P<0.05);轻中度脱水组患者重症腹泻并高渗血症的治疗痊愈率为80%,重度脱水组的痊愈率为86.8%,两组痊愈率比较,差异无统计学意义(P>0.05)。结论重型腹泻儿童并高渗血症在临床上应谨慎治疗,高渗脱水状态不容小觑,且易引起的高糖高钠容易忽视,临床上需及时纠正电解质的平衡,调节患儿内部环境平衡。Objective To observe the clinical features of diarrheal diseases （severe type） with hyperosmolar hyponatremia and analyze its clinical effects. Methods 78 cases of diarrheal diseases （severe type） with hyperosmolar hyponatremia from pediatric department of our hospital were chosen and given medication symptomatic treatment,and were divided into mild and moderate dehydration and severe dehydration group according to the degree of dehydration is, given medicine comprehensive therapy,the clinical features and therapeutic effects of the disease were analyzed. Results Severe type of diarrheal diseases was easy to combine with hypernatremia and increased infiltration consistence of blood plasma by hyperglycemia. Mild to moderate dehydration in patients with serum sodium, glucose and osmotic concentration was not significantly less severe dehydration group（P0.05 ）;The cure rates of diarrheal diseases（severe type） with hyperosmolar hyponatremia of the two groups were respectively 80% and 86.8% and the difference was statistically significant（P0.05）. Conclusion Diarrheal diseases （severe type） with hyperosmolar hyponatremia of children should be treated seriously in clinical work and hyperosmotic dehydration state should not be overlooked. Hyperglycemia and hypersodium easily caused by it are often ignored. In clinical work we should promptly rectify electrolyte balance and adjust the internal environment balance of children.

关 键 词：腹泻病 高渗血症 重型 观察 

分 类 号：R725[医药卫生—儿科]