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目的 探讨血糖、血乳酸在合并全身性炎症反应综合征 (SIRS)的小儿肺炎患者中的变化。方法 选择 83例肺炎合并SIRS患儿分别进行血糖、血乳酸和血气指标的测定 ,同时选择非SIRS的肺炎患儿和正常健康儿童作为对照组 ,以观察这些指标的动态变化。结果 小儿肺炎患儿SIRS发生率为 5 8.5 % ;SIRS组血糖和血乳酸值与对照组比较具有显著性差异 (P <0 .0 1或P <0 .0 5 ) ,但血气分析结果比较差异无显著性。结论 小儿肺炎患儿SIRS发生率高 ,SIRS时血糖、血乳酸等高代谢指标显著增高。
Objective To investigate the changes of blood glucose and blood lactate in children with pneumonia complicated with systemic inflammatory response syndrome (SIRS). Methods Eighty-three children with pneumonia complicated with SIRS were selected for the determination of blood glucose, blood lactate and blood gas, and the children with non-SIRS pneumonia and normal healthy children were selected as the control group to observe the dynamic changes of these indexes. Results The incidence of SIRS in children with pneumonia was 55.5%. There were significant differences in blood glucose and blood lactic acid between SIRS group and control group (P <0.01 or P <0.05), but blood gas analysis results were significantly different No significant. Conclusion The incidence of SIRS in children with pneumonia is high, and the metabolic indexes such as blood glucose and blood lactate are significantly increased in SIRS.