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观测婴儿百日咳或百日咳综合征血钙107例。结果:<2.25mmol/L44例(憋气27例)为低血钙组,≥2.25mmol/L63例(憋气30例)为正常血钙组。抽搐率前组高于后组(P<0.01)。憋气Apgar评分前组低于后组(P<0.05)。憋气冲Apgar评分减轻1度的天数,低血钙钙剂治疗组短于其对照组(P<0.05);正常血钙钙剂治疗组与其对照组无明显差异(P>0.05);憋气消失天数,四组间无明显差异(P>0.05)。提示:低血钙提高肌肉兴奋性,加重憋气程度,静注钙剂能改善之,但憋气的最终消失有待于基础病变的消除。
Observation of infant pertussis or whooping cough syndrome blood calcium 107 cases. Results: There were 44 cases of hypocalcemia in <2.25mmol / L (n = 27) and 23 cases of ≥2.25mmol / L (nocturnal gas in 30 cases) as normal serum calcium group. The rate of convulsions in the former group was higher than that in the latter group (P <0.01). Apgar score was lower in the former group than in the latter group (P <0.05). The number of days in which Apgar score was decreased by 1 degree was significantly lower in hypocalcemia group than in control group (P <0.05). There was no significant difference between normal calcium group and control group (P> 0.05) There was no significant difference between the four groups (P> 0.05). Tip: hypocalcemia increase muscle excitability, increase the degree of suffocation, intravenous calcium can be improved, but the final disappearance of suffocation to be the basis for the elimination of lesions.