中国当代儿科杂志2012，Vol.14Issue(9)：664-666,3.
婴幼儿重症肺炎病情危重的预测指标
Predictive indices for critical condition for infants and young children with severe pneumonia
李丰 1张园海 1邵兰 1陈其1
作者信息
- 1. 温州医学院附属育英儿童医院儿童心血管科,浙江温州325027
- 折叠
摘要
Abstract
Objective To investigate the early predictive indices of critical condition in infants and young children with severe pneumonia, and to provide reference for diagnosis and treatment of the disease. Methods Clinical data were collected on 411 patients (aged 1-36 months) with severe pneumonia who were admitted from January 2009 to December 2011, and multivariate logistic regression analysis was performed using 23 potential indices. These cases were divided into a critical group of 139 cases who died in hospital or needed rescue or mechanical ventilation during the course of disease and an ordinary group of 411 cases. Results Eight indices with statistical significance were selected to predict the critical condition after multivariate logistic regression analysis, including hypocalcemia with the highest odds ratio (OR) (11.488) , followed by sinus tachycardia (7.506) , congenital heart disease (5.977) , brain disorder symptoms (5. 182) , premature birth (4. 978), blood potassium abnormality (2.910), metabolic acidosis (2.489) and malnutrition (2.048). Conclusions The predictive indices of critical condition in infants and young children with severe pneumonia are hypocalcemia, sinus tachycardia, congenital heart disease, brain disorder symptoms, premature birth, blood potassium abnormality, metabolic acidosis and malnutrition. The infants and young children with these risk factors need intensive care.关键词
重症肺炎/预测指标/婴幼儿Key words
Severe pneumonia/Predictive index/Infant/Young child分类
医药卫生引用本文复制引用
李丰,张园海,邵兰,陈其..婴幼儿重症肺炎病情危重的预测指标[J].中国当代儿科杂志,2012,14(9):664-666,3.
