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目的探讨应激性高血糖对高海拔地区危重患儿的影响。方法用微量血糖仪分别对70例危重患儿和60例轻症患儿进行血糖测定。结果单器官和多器官功能衰竭组血糖浓度分别为(9.97±3.12)mmol/L,(18.80±5.82)mmol/L;血糖<10mmol/L时,病死率19.05%,血糖~15mmol/L时,病死率33.33%,血糖>15mmol/L时,病死率70%。结论高海拔地区危重患儿血糖浓度越高,病情危重程度越重,年龄越小,血糖值越高,病情也越严重。
Objective To investigate the effect of stress hyperglycemia on critically ill children at high altitude. Methods Blood glucose was measured in 70 cases of critically ill children and 60 cases of mild cases by micro-glucose meter. Results The blood glucose concentrations of single organ and multiple organ failure group were (9.97 ± 3.12) mmol / L and (18.80 ± 5.82) mmol / L, respectively. When the blood glucose was less than 10mmol / L, the case fatality rate was 19.05% Case fatality rate 33.33%, blood glucose> 15mmol / L, the case fatality rate 70%. Conclusion The higher the blood glucose level in critically ill children at high altitude, the heavier the severity of the disease, the younger, the higher the blood sugar level and the more serious the disease.