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本文用一般微循环目测和照相方法,对小儿急性肺炎的甲皱微循环动态观察。经对比,重症甲皱微循环管袢模糊不清,血流速度减慢,流态异常,底色改变异常,管袢数目减少,动脉支变窄,红细胞聚集等均比轻症有明显异常,并结合临床危重和死亡病例以及呼吸、心功能改变等,提示了甲皱的变化随病情加重而加重,并以红细胞聚集和血流异常为突出,与文献报道一致。其动态观察提示肺炎极期的甲皱微循环障碍改变随肺炎恢复而恢复正常。还注意到,肺炎甲皱“微循环障碍”的严重度除与病情、病期有关外,与病因的关系值得进一步探讨。
In this paper, with the general microcirculation visual and photographic methods, dynamic observation of pediatric acute pneumonia nail fold microcirculation. By contrast, microcirculation of severe nail wrinkles microcirculation fuzzy, slow blood flow, abnormal fluid flow, abnormal changes in the background, reduce the number of tuberculosis, arterial narrowing, erythrocyte aggregation were significantly more than mild abnormalities, Combined with clinical critically ill and death cases as well as respiration, cardiac function changes, suggesting that changes in nail fold aggravate with the aggravation of the disease, and to highlight the red blood cell aggregation and abnormal blood flow, consistent with the literature. The dynamic observation showed that the most frequent change of nail fold microcirculation in pneumonia returned to normal with the recovery of pneumonia. Also noted that the severity of pneumonia nail wrinkles “microcirculation” in addition to the disease, the stage of illness, the relationship with the cause of further worth exploring.