危重病儿高血糖的临床意义探讨  

The Clinical Significance of Hyperglycemia in Critically Ill Children

作　　者：李琪[1] 梁琨[1] 程时珏[1] 

机构地区：[1]昆明医学院第一附属医院儿科,昆明650032

出　　处：《昆明医学院学报》2000年第3期67-68,83,共3页Journal of Kunming Medical College

摘　　要：探讨危重病儿血糖在病程中变化的特点及与疾病危重程度和预后的相关性 .采用静脉采血 ,用过氧化酶法在危重病儿进入急救病房 1h内及住院 2 4h ,4 8h采血检测血糖值 .结果 :危重病儿血糖值明显高于对照组 .结果表明 :高血糖是危重病儿应激状态下最常见的代谢紊乱表现 ,病情越重 ,应激性越强 ,其血糖升高越明显 ,预后越差 .To understand the characteristics of the change of levels of blood glucose in critically ill children and its relationship with the prognosis, the concentration of blood glucose was measured within one hour, 24 hours, 48 hours after the child had been admitted into ICU by peroxidase method. Result: The level of bolld glucose in critically ill children was significantly higher than that of the control group( P <0.05). Conclusion: Hyperglycemia may be the most common metabolic disturbance in the critically ill children in the situation of stress. The more serious the disease is, the stronger the stress is, the higher the blood glucose level will be, the poorer the prognosis will be.

关 键 词：危重病儿 高血糖 应激状态 

分 类 号：R720.597[医药卫生—急诊医学]