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目地探索高海拔地区婴幼儿肺部的临床特点。方法按照年龄、性别,从玉树高海拔地区来某院住院婴幼儿肺炎患儿与同期西宁地区在该院住院的84例婴幼儿肺炎进行回顾性病例对照分析,计量资料采用t检验,分类资料采用卡方检验。结果青海玉树高海拔地区的患儿与青海西宁地区的患儿临床表现两者比较差异有统计学意义。玉树高海拔地区的患儿与西宁地区的患儿合并症和并发症比较差异性不显著。但玉树高海拔地区先天性心脏病的发病率明显高于西宁地区。胸部X线玉树高海拔地区与西宁地区比较有显著差异。结论玉树高海拔地区患儿相对于西宁地区婴幼儿而言,非特异性症状占有较高的比例,易于合并先天性心脏病,并且发生并发症比率高,治疗有效率比例较低。
Objective To explore the clinical characteristics of infants and young children in high altitude areas. Methods A retrospective case-control analysis of 84 infants and young children with pneumonia infants admitted to a hospital in Yushu from a high altitude and 84 infants and young children hospitalized in Xining during the same period was conducted according to age and sex. The measurement data were analyzed by t-test and classification data Chi-square test. Results The clinical manifestations of children with high altitude in Yushu, Qinghai Province and Xining, Qinghai Province, there was a significant difference between the two. There was no significant difference between the children with high altitude in Yushu and those with children in Xining. However, the incidence of congenital heart disease at high altitudes in Yushu was significantly higher than that in Xining. Chest X-ray Yushu high-altitude areas and Xining relatively significant differences. Conclusion Compared with infants and toddlers in Xining area, children with high altitude in Yushu County occupy a higher proportion of nonspecific symptoms and are prone to complicated with congenital heart disease. The rate of complications is high and the treatment effective rate is low.