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目的依据“小儿危重病例评分法”的相关标准和要求,对小儿重症肺炎患儿进行重症评估,并且依据危重程度评估相应结果对患儿的临床治疗加以指导。方法对参与本次研究的所有小儿重症支气管肺炎患儿,进行小儿危重病例评分。同时,根据入选患儿的病症情况,及危重评分结果对患儿采用综合治疗的方法加以治疗。并根据患儿的具体情况,有针对性的对患儿进行激素治疗、抗感染治疗、机械通气治疗等治疗措施。结果 B组93例患儿的总治愈比例达到98.92%。而其中有1例危重患儿应治疗无效而最终死亡,占患儿总数的1.08%,这例死亡患儿的致死原因为呼吸衰揭。结论根据A组对照组与B组重症评价组患儿的治疗结果对比可知,对小儿重症肺炎患儿进行危重评分,能够在判断小儿重症肺炎患儿病情轻重程度时进行准确的指导。同时,医护人员可以根据评分结果针对性的对患儿进行对症给药,进而有效的纠正重症肺炎患儿在治疗过程中出现的各种并发症,从而使患儿的病死率下降。
Objective According to “pediatric critical case score method ” the relevant standards and requirements for pediatric severe pneumonia in children with severe assessment, and assessment of the corresponding results according to the severity of the clinical treatment of children to be guided. Methods All pediatric patients with severe bronchial pneumonia who participated in this study were scored for critical cases in children. At the same time, according to the selected children’s condition, and the results of critical grading on children with comprehensive treatment to be treated. And according to the specific circumstances of children, targeted treatment of children with hormone therapy, anti-infective therapy, mechanical ventilation and other treatment measures. Results The total cure rate of 93 children in group B reached 98.92%. One of the critically ill children should be treated and eventually died, accounting for 1.08% of the total number of children. The cause of death in this case of death was respiratory failure. Conclusion According to the comparison between the treatment results of A group and B group, we can know that the critical score of children with severe pneumonia can be used to guide the severity of severe pneumonia in children. At the same time, health care workers can be symptomatic based on the score of symptomatic drug delivery to children, and thus effectively correct the severe pneumonia in children with various complications occurred during the treatment, so that children’s mortality decreased.