婴儿腹泻细胞内外电解质变异的研究

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本文对36例1(1/2)岁以下(其中3个月以下小婴儿占80.6%,1岁以下占94.4%)婴幼儿急性腹泻病人血浆和红细胞钠、钾、氯、磷进行了测定,以了解急性腹泻脱水时及经治疗脱水纠正后细胞内外电解质变化情况,以便更合理的进行液疗。研究结果显示,在一定液疗常规规定下治疗后大多数病人血浆钠、钾在正常范围内;血浆氯在治疗前均值(109.8毫当量/升)高于正常,治疗后有所下降(106毫当量/升),接近正常;前后相比P<0.01,病情越重治疗前越高;血浆磷虽然治疗前后均值都在正常范围,但治疗后低于治疗前且病情越重血浆磷下降越多,血浆磷治疗前后对比P 值<0.01。这些均有指导治疗意义。红细胞钠、钾均值治疗后比治疗前增加,差异有显著性。红细胞氯无显著变化。红细胞磷在中重型病人明显低于轻型病人,P<0.05,提示病人病情越重体内磷缺乏越明显,因此对重症腹泻病人液疗应注意补充磷。本文研究在所规定的液疗方案下进行,所得结果是好的,从而可认为所用液疗方案是得力的。 In this paper, the plasma and erythrocyte sodium, potassium, chlorine and phosphorus in 36 cases of infants with acute diarrhea under 1 (1/2) years old (80.6% of which were below 3 months old and 94.4% below 1 year old) were measured, In order to understand the acute diarrhea dehydration and after treatment of dehydration corrected intracellular and extracellular electrolyte changes in order to more reasonable for hydrotherapy. The results showed that the plasma sodium and potassium in the majority of patients were within the normal range after the treatment under the routine regulations of liquid medicine. The plasma chloride before treatment was higher than the normal (109.8 meq / L) Equivalent / liter), which was close to normal; P <0.01 before and after treatment, the more severe the disease was, the higher the pre-treatment plasma phosphorus was. However, the plasma phosphorus was in the normal range before and after treatment, , Before and after plasma phosphorus treatment, P value <0.01. These are the guiding significance of treatment. RBC sodium and potassium mean increase after treatment than before treatment, the difference was significant. No significant changes in red blood cell chlorine. Red blood cell phosphorus in patients with moderate to severe was significantly lower than in light patients, P <0.05, suggesting that patients with more severe disease in vivo phosphorus deficiency, the more obvious, so patients with severe diarrhea should pay attention to liquid phosphorus supplementation of phosphorus. The study was conducted under the prescribed fluid therapy regimen and the results obtained were good, so that the fluid therapy regimen used was considered viable.
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