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本文比较分析西宁地区婴幼儿重症肺炎148例,DIC组58例,肺炎组90例。临床资料证明:重症肺炎并DIC是加重呼吸衰竭、心力衰竭、脑水肿致使病死率增高的重要因素。认为重症肺炎病情危重或突然恶化、呼吸困难、紫甜加重、极度烦燥或有出血倾向是早期诊断线索,凝血机制检测是确诊依据,积极有效控制肺部感染,早期插管充分供氧,尽快纠正低氧血症及高碳酸血症,及时应用肝素抗凝配合新鲜血(浆)治疗是抢救的关键措施。
This article comparative analysis of 148 cases of infant pneumonia in infants and young children in Xining area, 58 cases of DIC group, 90 cases of pneumonia group. Clinical data show that: severe pneumonia and DIC is an important factor that aggravates respiratory failure, heart failure, cerebral edema resulting in increased mortality. Serious or sudden deterioration of severe pneumonia, dyspnea, increased purple sweetness, extreme irritability or bleeding tendency is an early diagnosis, coagulation testing is based on the diagnosis, and effective control of pulmonary infection, early full of oxygen intubation, as soon as possible Correct hypoxemia and hypercapnia, timely application of heparin anticoagulation with fresh blood (plasma) treatment is the key to rescue.