危重症儿科患者的电解质失衡
Electrolyte imbalance in critically ill paediatric patients.
作者信息
Naseem Faizia, Saleem Ayesha, Mahar Imtiaz Ahmed, Arif Fehmina
机构信息
Faizia Naseem, MBBS, FCPS. Assistant Professor, Paediatric Unit I, DUHS, Karachi, Pakistan.
Ayesha Saleem, MBBS, FCPS. Assistant Professor, Paediatric Unit III, DUHS, Karachi, Pakistan.
出版信息
Pak J Med Sci. 2019 Jul-Aug;35(4):1093-1098. doi: 10.12669/pjms.35.4.286.
OBJECTIVE
To determine the frequency and outcome of electrolyte imbalance in seriously ill children admitted in Paediatric Intensive Care Unit (PICU) of a public sector hospital in Karachi.
METHODS
All children between the ages of one month to 12 years admitted in PICU from May 2017 to October 2017 were included. Blood samples were drawn to determine the baseline sodium, potassium, calcium, magnesium and phosphorous and followed 24 hourly or earlier, if needed (Those who had imbalance at admission or on subsequent repeat labs as per protocol).
RESULTS
A total of 101 children were included in the study. Electrolyte imbalance was seen in 84%. A single electrolyte imbalance was noted in 30.58%. Hypocalcemia was the most frequent abnormality noted in 57.6%. Among the total expiries during the study period 91% had electrolyte imbalance. Mortality within 48 hours and duration of stay was also increased in these patients.
CONCLUSION
Electrolyte imbalance is an important prognostic indicator in critically ill patients.
目的
确定卡拉奇一家公立医院儿科重症监护病房（PICU）收治的重症患儿电解质失衡的发生率及后果。
方法
纳入2017年5月至2017年10月在PICU住院的所有1个月至12岁儿童。采集血样以测定基线钠、钾、钙、镁和磷水平，并每24小时或根据需要更早进行复查（即那些入院时或后续按方案进行的重复检查中有失衡情况的患儿）。
结果
共有101名儿童纳入本研究。84%的患儿出现电解质失衡。单一电解质失衡占30.58%。低钙血症是最常见的异常，占57.6%。在研究期间的所有死亡病例中，91%存在电解质失衡。这些患者48小时内的死亡率及住院时间也有所增加。
结论
电解质失衡是危重症患者的重要预后指标。
Zotero 插件