Clinical analysis of severe pneumonia complicated with respiratory failure in children
小儿重症肺炎合并呼吸衰竭的临床措施分析

摘要

目的 探究儿科患者重症肺炎合并呼吸衰竭的有效临床措施。方法 整理本院儿科收治的2020年7月到2021年6月期间入院42例儿童重症肺炎病历资料开展研究，随机进行治疗分组，其中对照组施行基础治疗（根据年龄选用头罩、或面罩、镇静、抗感染、利尿、止咳平喘、强心），观察组在基础治疗的同时，采取早期持续气道正压通气治疗，对比两组治疗24小时后的PaO2/mmHg、PaCO2/mmHg、FiO2/%指标；对比两组肺部啰音、发绀、呼吸困难消失的时间以及总住院时间；统计两组治疗有效率。结果 观察组PaO2/mmHg>对照组、PaCO2<对照组、FiO2%<对照组；观察组肺部啰音、发绀、呼吸困难消失的时间<对照组，住院时间<对照组；总有效95.24%>对照组85.71%，（P<0.05）。结论 小儿重症肺炎合并呼吸衰竭，在基础治疗之上，采取早期持续气道正压通气治疗可尽快遏制疾病发展、稳定患儿体征并提升最终治疗效率。

Abstract

Objective To explore the effective clinical measures of pediatric patients with severe pneumonia complicated with respiratory failure.
Methods Of pediatric treated in our hospital during July 2020 to June 2021 in hospital medical records of 42 cases of severe pneumonia in children research, randomized to treatment group, in- cluding the control of foundation treatment (according to age the hood, or mask, composed, anti-infection, diuresis, cough and asthma, cardiac), the observation group in the foundation treatment at the same time, The PaO2/mmHg, PaCO2/mmHg and FiO2/% indexes were compared between the two groups 24 hours after treatment. The time of disappearance of pulmonary rales, cyanosis and dyspnea and total hospital stay were compared between the two groups. The effective rate of the two groups was calculated.
Results PaO2/mmHg in observation group was higher than control group, PaCO2 was lower than control group, FiO2% was lower than control group. Time of disappear- ance of pulmonary rales, cyanosis and dyspnea in observation groupConclusion   In addition to basic treatment, early continuous positive airway pressure (CPAP) therapy in children with severe pneumonia com- plicated with respiratory failure can contain the development of the disease as soon as possible, stabilize the signs of children and improve the final treatment efficiency.