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目的探讨重症肺炎与电解质关系,以指导临床工作。方法按照中华医学会呼吸病学分会2006年的诊断标准,回顾性分析我院2010年1月至2010年12月收治的44例成人重症肺炎患者的临床病历资料。结果 44例重症肺炎中,死亡26例,占59.1%;存活18例,占40.9%,死亡组血清钾均值为(3.42±0.73)mmol/L,存活组血清钾均值(4.09±0.72)mmol/L;死亡组血清钠均值(135.65±5.16)mmol/L,存活组均值(140.68±6.08)mmol/L;死亡组血清氯均值(98.14±3.46)mmol/L,存活组均值(101.28±5.94)mmol/L;死亡组血清钙均值(2.05±0.18)mmol/L,存活组血清钙均值(2.16±0.13)mmol/L,两组间比较有统计学意义(P<0.05)。结论重症肺炎常并发电解质紊乱,并明显影响预后,常规监测电解质,及时纠正紊乱能明显提高重症肺炎的抢救成功率。
Objective To explore the relationship between severe pneumonia and electrolytes to guide clinical work. Methods According to the 2006 diagnostic criteria of Respiratory Disease Branch of Chinese Medical Association, the clinical records of 44 adult patients with severe pneumonia admitted in our hospital from January 2010 to December 2010 were retrospectively analyzed. Results Serum potassium was (3.42 ± 0.73) mmol / L in the death group and 4.09 ± 0.72 mmol / L in the survival group L, serum mean sodium (135.65 ± 5.16) mmol / L in the death group and 140.68 ± 6.08 mmol / L in the survival group, mean serum chloride (98.14 ± 3.46) mmol / L in the death group and 101.28 ± 5.94 mmol / L, serum mean calcium (2.05 ± 0.18) mmol / L in the death group and 2.16 ± 0.13 mmol / L serum calcium in the survival group were statistically significant (P <0.05). Conclusion Severe pneumonia often complicated with electrolyte imbalance, and significantly affect the prognosis, routine monitoring of electrolyte, timely correction of disorders can significantly improve the success rate of severe pneumonia rescue.