小儿重症肺炎并发颅内压增高的37例临床治疗研究  

Clinical study of 37 cases of children with severe pneumonia complicated by increased intracranial pressure

作　　者：张立 高鲁平 

机构地区：[1]乌鲁木齐市第一人民医院急诊科,内蒙古乌鲁木齐830000

出　　处：《世界最新医学信息文摘》2014年第12期19-19,18,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨重症肺炎血气改变与颅内高压的关系。方法对37例重症肺炎呼吸衰竭患儿的脑脊液压力进行测定。结果脑脊液压力增高与血pH、Pao2、Hco3-呈负相关；与Paco2呈正相关；颅内压增高程度与呼吸衰竭类型、程度有关。结论脑脊液压力增高是导致重症肺炎呼吸衰竭加重致死的重要因素之一。抢救重症肺炎呼吸衰竭患儿，改善通气，早期给氧，适当应用脱水剂降低颅内压，非常必要。Objective to investigate the relationship between changes in blood with severe pneumonia and intracranial hypertension. Methods 37 cases of cerebrospinal fluid pressure in children with severe pneumonia and respiratory failure were measured. Results increased cerebrospinal fluid pressure and blood pH, Pao2, Hco3-negative correlation; positive correlation with Paco2 was;degree of increased intracranial pressure and respiratory failure type, degree. Conclusion increased cerebrospinal lfuid pressure is an important factor leading to severe pneumonia and respiratory failure aggravated death. Rescue respiratory failure in children with severe pneumonia, improve ventilation, early oxygen, proper application of dehydrating agent to reduce intracranial pressure, is necessary.

关 键 词：重症肺炎 颅内高压 血气改变 

分 类 号：R725.6[医药卫生—儿科]