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小儿肺炎是引起呼吸衰竭(下简称呼衰)的主要原因,需及时发现,紧急抢救.现将我院1987年1月~1989年8月对20例住院小儿重症肺炎血气分析结果报告如下:临床资料 本组共20例,男12例,女8例,其中新生儿10例,1~2个月7例,3~6个月3例。均依据1984年南宁会议和1986年杭州会议(新生儿)呼吸衰竭的诊断标准,结合临床症状、体征及X线胸片证实为肺炎者,采集患儿股动脉血进行血气分析。血气分析结果1.PH≤7.3者13例,其中≤7.20者7例,最低者PH<6.81。PaCO_2>6.67kPa者10例,其中>12.6kPa8例,<3.63kPa4例。本组Ⅰ型呼衰8例,Ⅱ型呼衰12例。混酸8例,呼酸5例,代酸3例,代酸呼碱4例。
Pediatric pneumonia is caused by respiratory failure (hereinafter referred to as respiratory failure) the main reason for the need to promptly find emergency rescue now in our hospital from January 1987 to August 1989 20 cases of hospitalized children with severe pneumonia, blood gas analysis results are reported as follows: Clinical This group of 20 cases, 12 males and 8 females, including 10 newborns, 1 to 2 months in 7 cases, 3 to 6 months in 3 cases. According to the 1984 Nanning Conference and the 1986 meeting of Hangzhou (neonatal) respiratory failure diagnosis criteria, combined with clinical symptoms and signs and chest X-ray confirmed as pneumonia were collected in children with femoral artery blood gas analysis. Blood gas analysis results 1. PH ≤ 7.3 in 13 cases, of which 7.20 were 7 cases, the lowest PH <6.81. PaCO_2> 6.67kPa in 10 cases, including> 12.6kPa8 cases, <3.63kPa4 cases. The group Ⅰ type respiratory failure in 8 cases, type Ⅱ respiratory failure in 12 cases. 8 cases of mixed acid, 5 cases of sour acid, 3 cases of acid, 4 cases of acid call base.