论文部分内容阅读
目的了解拉萨地区高原性心脏病(简称高心病)婴幼儿的临床特征,探讨血清电解质变化对高心病的诊治价值。方法将资料完整的60例汉族高心病婴幼儿的临床资料进行分析,并与20例汉族轻度腹泻病婴幼儿对照。对其临床表现及电解质进行对比分析。结果 60例汉族高心病婴幼儿均为移居者,母亲妊娠期及患儿出生后均在西藏。主要临床表现为呼吸急促、发绀、尿少、高心病面容、夜啼、第二心音亢进、心力衰竭、声音嘶哑、前囟张力高及低氧血症等。高心病患儿组电解质水平男女间差异均无统计学意义(Pa>0.05);与对照组比较,高心病患儿组血钠、血钾、血氯、血钙、血镁、TCO2、水平明显增高,二组比较差异均有统计学意义(Pa<0.05)。结论电解质变化特征对于指导高心病的诊断、治疗有一定的临床意义。
Objective To understand the clinical features of infants with high altitude heart disease (LVEF) in Lhasa and to explore the value of serum electrolyte changes in the diagnosis and treatment of high heart disease. Methods The complete clinical data of 60 Han children with hyperglycemia were analyzed and compared with 20 Han children with mild diarrhea. The clinical manifestations and electrolytes were compared. Results All 60 infants with high heart disease in Han nationality were migrants. The mother was born in Tibet after pregnancy and the child was born. The main clinical manifestations of shortness of breath, cyanosis, oliguria, high heart disease face, night cry, the second heart sound hyperthyroidism, heart failure, hoarseness, high anterior fontanel and hypoxemia. There was no significant difference in electrolyte level between children with high heart disease (P0.05). Compared with the control group, serum sodium, serum potassium, blood chlorine, serum calcium, magnesium and TCO2 were significantly higher in children with high heart disease Increased, the difference between the two groups was statistically significant (Pa <0.05). Conclusion Electrolytes changes in the characteristics of the diagnosis and treatment of high heart disease have some clinical significance.