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目的 了解小儿败血症与电解质紊乱的关系。方法 分析100例小儿败血症的病情、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、磷均较单器官损害组明显降低(P<0.01);病程≥5天组,血钾、钙、氯、磷均较<5天组明显下降(P<0.01);预后差组上述电解质也明显低于预后好组(P<0.01)。结论 小儿败血症病情、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 pediatric sepsis and electrolyte imbalance. Methods 100 cases of pediatric sepsis disease severity, duration, prognosis and the relationship between serum electrolytes. Results Compared with single organ damage group, blood sodium, calcium, chlorine and phosphorus in multiple organ damage group were significantly lower than those in single organ damage group (P <0.01). Blood potassium, calcium, (P <0.01). The electrolytes in the poor prognosis group were also significantly lower than those in the good prognosis group (P <0.01). Conclusions The condition, course and prognosis of pediatric septicemia are closely related to electrolytes. The patients with severe illness and longer course of disease have more obvious electrolyte disturbance. The electrolyte disturbance aggravates the condition and affects the prognosis. Electrolyte disturbance should be corrected in the treatment.