20例危重儿合并高渗血症的回顾分析  

Retrospective analysis of 20 critical cases complicating hyperosmolarity

作　　者：姚华[1] 

机构地区：[1]四川省凉山州第二人民医院儿科,四川西昌615000

出　　处：《中国妇幼健康研究》2014年第1期135-137,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨婴幼儿高渗血症的病情诊治及预后的相关性。方法回顾性分析凉山州第二人民医院2010年1月至2012年12月的20例危重儿合并高渗血症的临床资料，根据补液治疗方法的不同分为两组，高渗补液组和低渗补液组，比较两组的输液浓度和血渗透压下降速度，病情恢复及预后。结果严重高渗血症24小时血渗透压下降值〉20mmol／L较24小时血渗透压下降值〈20mmol／L的死亡率高（X^2=4．5，P〈0．05）。结论严重高渗血症病死率高，血渗透压、血糖浓度恢复正常的速度过快，有导致病情加重可能。Objective To review and analyze the relationship between the diagnose, treatment of hyperosmolarity and its prognosis in critical infants. Methods The clinical data of 20 critical cases complicating hyperosmolarity admitted from January 2010 to December 2012 in Second People＇ s Hospital of Liangshan in Sichuan Province. According to treatment they were divided into high osmotic pressure of fluid infusion group and low osmotic pressure of fluid infusion group. The concentration of fluid infusion, declining rate of plasma osmotic pressure, clinical progress and prognosis of two groups were compared. Results Compared with the cases whose plasma osmotic pressure decline 〉 20mmol/L at 24h, the mortality of cases whose plasma osmotic pressure decline 〈 20mmol/L at 24h was lower （X^2 = 4.5, P 〈 0.05 ）. Conclusion The mortality is high in cases with critical hyperosmolarity. Rapid decline of plasma osmotic pressure and blood glucose concentration will worsen patients＇ illness.

关 键 词：高渗血症 血渗透压 血糖浓度 回顾分析 

分 类 号：R725[医药卫生—儿科]