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本文总结我院1982—1984年小儿感染性休克320例。原发病:中毒型痢疾居首位,暴发型流脑次之,鼠伤寒感染并休克占第三位,金葡败血症病死率最高。轻症108例,重症212例。高海拔地区小儿感染性休克临床并发症多,脏器功能损害混合出现,致使病情严重复杂;微循环障碍严重,低氧血症占100％,高乳酸血症占82.9％是高海拔地区小儿感染性休克的特点。抢救高海拔地区小儿感染性休克重点是:早期给氧,合理扩容纠酸,积极改善微循环灌流及细胞代谢,防治多脏器功能表竭。
This article summarizes our hospital from 1982 to 1984, 320 cases of septic shock in children. Primary disease: dysentery ranks first in fulminant meningitis, followed by typhoid fever and shock infection in the third place, the highest mortality of gold staple sepsis. 108 cases of mild, severe cases of 212 cases. High altitude clinical sepsis in children with multiple complications, organ dysfunction mixed appeared, resulting in serious and complicated; microcirculation disorders, hypoxemia accounted for 100%, 82.9% of hyperlactic acidosis is a high altitude infection in children The characteristics of sexual shock. Rescue high-altitude children with septic shock focus is: early oxygen, rational expansion of acid correction, and actively improve microcirculation perfusion and cell metabolism, prevention and treatment of multiple organ function exhaustion.