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测定了53例肺炎患儿血乳酸盐浓度,其中男46例,女7例,平均年龄5.7月。重症肺炎29例,血乳酸盐浓度为2.38±127mmol/L,其中19例伴高乳酸盐血症;轻症肺炎24例,血乳酸盐浓度为1.70±0.44mmol/L,其中仅4例伴高乳酸盐血症。重症肺炎并发高乳酸盐血症者明显多于轻症肺炎者,且随病情好转,血乳酸盐浓度渐恢复正常,提示测定血乳酸盐浓度对判断小儿肺炎病情及预后有一定意义。治疗高乳酸盐血症关键在于纠正原发病,改善(?)循环,增强心功能并适当使用碳酸氢钠。
Determination of 53 cases of pneumonia in children with lactate concentration, 46 males and 7 females, with an average age of 5.7 months. 29 cases of severe pneumonia, blood lactate concentration of 2.38 ± 127mmol / L, of which 19 cases with hyperlipidemia; 24 cases of mild pneumonia, lactate concentration of 1.70 ± 0.44mmol / L, of which only 4 Case with hyperlipidemia. Severe pneumonia complicated by hyperlipidemia were significantly more than mild pneumonia, and with the condition improved, the blood lactate concentration gradually returned to normal, suggesting that the determination of serum lactate levels in children with pneumonia to determine the prognosis and prognosis of some significance. The key to treating hyperlipidemia is to correct the primary disease, improve (?) Circulation, enhance cardiac function and use sodium bicarbonate properly.