重症肺炎患儿内环境紊乱58例分析

目的探讨重症肺炎患儿内环境紊乱情况与病情发展的关系,及重症肺炎患儿血糖和血清钾、钠、钙的变化及其相互关系。方法对2002年～2005年我院儿科的58例重症肺炎患儿入院时进行血糖,血钾、钠、钙的检测,并以30例普通肺炎患儿为对照组进行比较。结果重症肺炎患儿急性期易发生高血糖(SHG)、低钠血症(HN)、低钾血症(HK)、低钙血症(HC),与对照组比较有显著性差异。血糖的升高更易发生血钠、血钙的降低。结论重症肺炎患儿处于应激状态,存在应激损伤,可引起应激性高血糖及电解质紊乱,由此加重内环境紊乱。故在病情急性期应控制过度应激反应,稳定内环境,有利于病情恢复。

Analysis of 58 cases of homeostasis disturbances in severe pneumonia infants

Objective To investigate the relationship of internal environmental homeostasis disturbances and the development of disease in severe pneumonia infants and search the changes and relationship of blood glucose and serum potassium Sodium,Calcium in severe pneumonia infants. Methods 58 cases of severe pneumonia infants were chosen from 2002 to 2005 in pediatric department of our hospital during admission. The blood glucose, Calcium Sodium and potassium were checked and compared with 30 cases of a central group of common pneumonic patient .Results During acute stage of severe pneumonia infant easy to had hyperglycemia (SHG),hyponatremia (HN),Hypokalemia (HK),Hypocalcemia (HC). There was significant difference when compared whth control group. The increase of blood sugar easy to companied with blood sodium and Calcium decrease. Conclusions Severe pneumonia infants were in stress states and stress lesion existed, which caused stressing hyperglycemia and disturbances of electrclyte, and caused disturbances of homeostasis . So it is need to control overreaction of stress during acute stage,stablized internal environment. This measure was benefit for recovery.