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目的:为了解小儿重症感染与电解质紊乱的关系。方法:分析86例小儿金葡菌败血症的病情、病程、预后与血电解质的关系。结果:多器官损害组除血钾外,血钠、钙、氯均较单器官损害组明显降低(P<0.05);病程≥7天组,血钠、钙、氯均较<7天组明显降低(P<0.05);预后差组上述电解质也明显低于预后好组(P<0.05)。结论:小儿金葡菌败血症病情、病程、预后与电解质密切相关,病情重、病程长者电解质紊乱更明显;电解质紊乱又加重病情,影响预后,治疗中要注意纠正电解质紊乱。
Objective: To understand the relationship between severe infection and electrolyte imbalance in children. Methods: To analyze the relationship between disease, course of disease, prognosis and blood electrolytes in 86 cases of Staphylococcus aureus septicemia. Results: In addition to serum potassium, serum sodium, calcium and chloride in multiple organ damage group were significantly lower than those in single organ damage group (P <0.05) (P <0.05). The electrolytes in the poor prognosis group were also significantly lower than those in the good prognosis group (P <0.05). Conclusion: Staphylococcus aureus septicemia in children is closely related to the disease, disease course and prognosis. Electrolytes are more serious in elder patients with severe disease and longer course of disease. Electrolyte disorder aggravates the disease and affects prognosis. Electrolytes should be corrected to correct electrolyte imbalance.