论文部分内容阅读
为完善新生儿休克的诊断标准，观察了１４７例休克新生儿的临床体征。通过多元逐步回归分析得出收缩压、股动脉搏动、肢端温度、皮肤颜色、皮肤循环、肛温和肛趾温差为诊断休克有意义的指标。经判别分析证明以这些指标诊断休克其准确率为１００％。休克患儿的器官损伤数随评分增加而增多，两者呈显著正相关。病死率在４～７分组基本相近，８分以上组明显增加，血压明显降低。结果提示：皮肤循环、皮肤颜色和肢端温度可以作为早期诊断休克的指标；休克分度以３分为轻度，４～７分为中度，８分以上为重度较合适，同时提出诊断休克的建议标准。
To improve the diagnostic criteria for neonatal shock, the clinical signs of 147 shock neonates were observed. Multiple regression analysis showed that systolic blood pressure, femoral artery pulsation, extremity temperature, skin color, skin circulation, rectal temperature and anal temperature difference for the diagnosis of shock is an important indicator. Discriminant analysis showed that the accuracy of these indicators in the diagnosis of shock was 100%. The number of organ damage in children with shock increased with the score increased, the two showed a significant positive correlation. Mortality in the 4 to 7 groups were similar, more than 8 points increased significantly, blood pressure was significantly lower. The results suggest that: the skin circulation, skin color and limb temperature can be used as an indicator of early diagnosis of shock; shock indexing to 3 points mild, 4 to 7 points for the moderate, more than 8 points for the more appropriate, while the proposed diagnosis of shock The proposed standard.