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研究目的婴儿捂热综合征血乳酸含量与乳酸性酸中毒的临床特点及其防治。研究方法采用ＳＢＡ－３０型Ｌ－乳酸分析仪与ＡＢＬ－３０型酸碱气体分析仪，患儿入院时作血生化、血气计算ＡＧ值，同步检测血乳酸，治疗时作动态测试。检测４０例健康婴儿作为对照。研究结果健康婴儿均值１．４９±０．２２ｍｍｏｌ／Ｌ，凡超过者判为高乳酸块血症。检测组１５例中８例均值３．３１±０．３０ｍｍｏｌ／Ｌ，６例均值１１．９１±１．６ｍｍｏｌ／Ｌ，伴ｐＨ值下降，为乳酸性酸中毒；１例恢复期１．５ｍｍｏｌ／Ｌ。动态测试乳酸值随着病情好转而恢复正常。结论婴儿捂热综合征患儿均有高乳酸块血症或乳酸性酸中毒的存在，遵循上述特点为防治乳酸性酸中毒提出了治疗原则。
Objective To investigate the clinical characteristics and prevention and treatment of blood lactic acid content and lactic acidosis in infants with warmer. Methods SBA-30-type L-lactic acid analyzer and ABL-30 acid-base gas analyzer were used in the study. Blood biochemistry and blood gas were used to calculate the AG value. Blood lactate was detected synchronously. Forty healthy infants were tested as controls. The results of healthy infants average 1.49 ± 0.22mmol / L, where more than those who sentenced to high lactatemia. Among the 15 cases in the test group, the mean of 8 cases was 3.31 ± 0.30mmol / L, the mean of 6 cases was 11.91 ± 1.6mmol / L, with the decrease of pH value, which was lactic acidosis. In the recovery period of 1.5mmol / L. Dynamic test lactic acid value returned to normal as the condition improved. Conclusion The children with WAS have both hyperlipidemia or lactic acidosis. Following the above-mentioned characteristics, the principle of treatment is proposed for the prevention and treatment of lactic acidosis.