血气分析在重症手足口病应用机械通气治疗前的意义  

The Clinical Significance of Blood Gas Analysis before Mechanical Ventilation in Treatment of Severe Hand, Foot and Mouth Disease

作　　者：欧阳科 

机构地区：[1]广东省河源市人民医院儿科,广东河源517000

出　　处：《中国医药指南》2013年第25期45-46,共2页Guide of China Medicine

摘　　要：目的探讨血气分析在重症手足口病应用机械通气治疗前的临床意义。方法重症手足口病患儿35例，采用紧急气管插管前0～24h内监测动脉血气。结果20例动脉血气氧分压＜80mmHg，12例动脉血二氧化碳分压（PaCO2）轻度升高，5例偏低，18例正常。结论机械通气治疗手足口病并神经源性肺水肿、脑干脑炎、脑脊髓炎前血气分析监测结果作为是否应用机械通气的客观指标。Objective The clinical significance of blood gas analysis in severe hand, foot and mouth disease mechanical ventilation before treatment. Methods Select 35 cases of severe hand-foot-mouth disease children from 0 to 24 hours before emergency intubation arterial blood gas monitoring. Results Arterial blood oxygen partial pressure〈80mmHg 20 cases, arterial carbon dioxide partial pressure （PaCO2） increased slightly to 12 cases, the low ifve cases, normal in 18 patients.Conclusion Mechanical ventilation in the treatment of hand, foot and mouth disease and neurogenic pulmonary edema, brain stem encephalitis, encephalomyelitis, before the results of blood gas analysis monitoring as to whether the application of mechanical ventilation objective indicators.

关 键 词：手足口病 动脉血气分析 机械通气 

分 类 号：R725[医药卫生—儿科]