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目的 :探讨小儿高原肺水肿的临床特点及治疗方法。方法 :对 86例高原肺水肿患儿在患病年龄、发病时间、诱因、临床表现及治疗后患儿肺部音消失时间、胸片阴影消失时间、临床治愈时间进行观察分析。结果 :在本组 86例患儿中 ,上呼吸道感染、过度活动是小儿高原肺水肿的主要诱因 ,小儿高原肺水肿多发生在进入高原前 3天 ,年长儿的肺部音消失时间、胸片阴影消失时间及临床治愈时间明显短于婴幼儿 (P <0 0 5 ,或 0 0 1)。结论 :对小儿高原肺水肿及时诊断 ,针对小儿的病理生理特点 ,进行积极的治疗 ,是提高小儿高原肺水肿的救治水平的有效方法
Objective: To investigate the clinical features and treatment of pulmonary edema in children. Methods: The age, onset time, inducement, clinical manifestations, disappearance time of lung sound, duration of disappearance of shadow of chest radiograph and clinical cure time of 86 children with high altitude pulmonary edema were observed and analyzed. Results: In this group of 86 children, upper respiratory tract infection and excessive activity are the main causes of pulmonary edema in children. High altitude pulmonary edema occurred more than 3 days before entering the plateau, the disappearance of lung sound in older children, The duration of disappearance of chest radiographs and clinical cure was significantly shorter than that of infants and young children (P <0.05, or 0.01). Conclusion: It is an effective method to improve the treatment of pulmonary edema in children with timely diagnosis of pulmonary edema in children and treatment of pathophysiology of children