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婴幼儿重症喘憋性肺炎常发生于婴儿且合并有佝偻病者,喘憋严重或并发心衰,呼衰的发展过程中存在着钙镁代谢紊乱。有报道低镁时使喘憋症状加重,促使心衰发生或影响强心甙的有效治疗作用。本文就我院3年来所收治婴幼儿重症喘憋性肺炎120例,均采用硫酸镁辅佐治疗,取得较好的效果,现总结分析如下。临床资料一、病例选择 (1)本组病例为1988年10月～1991年10月间的住院患儿,绝大多数为发生在冬春季,同期共收治喘憋性肺炎患儿330例,其中重症120例(36.4％);(2)喘憋性肺炎诊断依据按1987年4月(成都)张梓荆等建议。二、一般资料本组中男78例,女42例;年龄2～6个月73例,～1岁33例,～2岁9例,>2岁5例,最大1例为2岁4个月;106例1岁以下的婴儿中有58例以牛乳喂养,48例以母乳喂养;全部病儿均在发病2～5天入院。合并有佝偻病者83例,
Infant severe wheezing pneumonia often occurs in infants and patients with rickets, wheezing serious or complicated by heart failure, respiratory failure during the development of calcium and magnesium metabolism disorders. It has been reported when low magnesium wheezing symptoms aggravate, to promote heart failure or affect the effective treatment of cardiac glycosides. This article in our hospital over the past three years received infants with severe asthmatic pneumonia in 120 cases, are treated with magnesium sulfate adjuvant therapy, and achieved good results, are summarized as follows. Clinical data A case selection (1) This group of patients for the hospital from October 1988 to October 1991, the vast majority occurred in winter and spring, over the same period were treated 330 cases of asthmatic pneumonia in children, including Severe in 120 cases (36.4%); (2) diagnosis of asthmatic pneumonia according to April 1987 (Chengdu) Zhang Zijing et al. Second, the general information The group of 78 men and 42 women, aged 2 to 6 months 73 cases, ~ 1 year old 33 cases, ~ 2 years in 9 cases,> 2 years in 5 cases, the largest one case of 2 years old and 4 Month; 106 cases of infants under the age of 1, 58 were fed with milk, 48 were breastfeeding; all sick children were admitted to hospital for 2 to 5 days. 83 patients with rickets,