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本文通过对202例重症肺炎呼吸衰竭惠儿的脑脊液压力测定,探讨血气改变与颅内高压的关系。临床结果表明:小儿重症肺淡并发颅内高压发生率为81.7%。脑脊液压力增高与血pH.PaO_2、HCO_3~-呈负相关;与PaCO_2呈正相关;颅内压增高程度与呼吸衰竭类型、程度有关。脑脊液压力增高是导致重症肺炎呼吸衰竭加重致死的重要因素之一。抢救重症肺炎呼吸衰竭患儿,改善通气,早期给氧,适当应用脱水剂降低颅内压,非常必要。
In this paper, 202 cases of severe pneumonia respiratory failure benefit children cerebrospinal fluid pressure test to explore the relationship between blood gas changes and intracranial hypertension. Clinical results show that: pediatric severe lung light complicated by intracranial hypertension was 81.7%. Cerebrospinal fluid pressure increased with the blood pH.PaO_2, HCO_3 ~ - was negatively correlated; and PaCO_2 was positively correlated; increased intracranial pressure and respiratory failure type, extent. Increased cerebrospinal fluid pressure is one of the important factors leading to severe respiratory failure in severe pneumonia. Rescue children with severe pneumonia respiratory failure, improve ventilation, early oxygen, dehydration agent appropriate to reduce intracranial pressure, it is necessary.