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Mycoplasma detection and treatment of infection

Control group 10% calcium gluconate per 10ml, 20ml with 10% glucose diluted, 2O-minute intravenous infusion, 2 / 13, 5 to 7 days treatment. Results: The two groups, the treatment group a significant effect. And calcium stability,[link widoczny dla zalogowanych], maintained normal levels after the closure. Conclusion: Continuous intravenous infusion of calcium treatment of vitamin D deficiency tetany significant effect. Keywords baby tetany continuous infusion of calcium vitamin D deficiency baby tetany is more common in clinical practice, review our department since 2003,[link widoczny dla zalogowanych], continuous infusion of calcium therapy in 36 cases, compared with conventional intermittent therapy, a significant effect, is Clinical application will be summarized as follows: 1 General Information 1.1 clinical data since 2003,[link widoczny dla zalogowanych], our department were treated infants with vitamin D deficiency in children with tetany 78 patients randomized to continuous intravenous infusion of calcium for the treatment group 36 cases 20 males and 16 females, aged 2 months to 1 year of age; calcium 2 times a day intravenously for the control group, 42 patients, 24 males and 18 females, aged 2 months to 1 year old. Two groups of people's homes check calcium, phosphorus, magnesium and alkaline phosphatase,[link widoczny dla zalogowanych], the statistical P> 0.05, no significant differences, comparable, see Table 1. Table 1. Two groups of infants with vitamin D deficiency in children with tetany admission serum calcium, phosphorus, magnesium and alkaline phosphatase Comparison of (± s) Note: The two groups, P> 0.051.2 diagnostic criterion-referenced (JL Science uniform continuous intravenous infusion, 4 to 5 drops / · rain, a course of 3 to 5 days. the control group 10% calcium gluconate 10ml, 20ml with 10% glucose diluted 20 to 30 minutes after the infusion, 2 times / day course of 5 ~ 7 days. 3 Results 3.1 children in both groups after treatment, serum calcium 1,3,5,7 dynamic observation days, the treatment group l, 3 天 calcium significantly increased,[link widoczny dla zalogowanych], reaching normal levels, compared with the control group There were significant differences P 0.05 no significant difference, Table 2. 3.2 calcium test results after treatment, the treatment group urinary calcium values (1. 704-0.26) mmol / L; the control group calcium values (1.624-0.32) mmo | / L, comparing the results, P> 0.05, no significant difference. 3.3 ECG monitoring treatment group a case of arrhythmia. 3.4 Comparative clinical efficacy of 3 days of the control group were 33 cases (91.6%); control group, 22 patients (52.4%) between two groups P 0.05. 4 discuss vitamin D deficiency tetany is a common gastrointestinal emergency in infants, children with seizures can stop breathing, throat spasms are even dangerous and must be quickly stopped. The first is to make seizures or larynx spasms and other danger signs to stop, followed by additional calcium, so calcium increased rapidly, danger signs no longer appear. and give vitamin D, the calcium and phosphate metabolism back to normal. general application of 10% calcium gluconate 5 ~ 10ml 10% glucose slow intravenous infusion diluted 20ml (full agent takes about 10 minutes or more) 1 ~ 2 times per day, calcium recovered slowly, more in 5 to 7 days after the return to normal, seizures often occur during treatment, intravenous infusion if the calcium too fast, a lot of calcium to be excreted in urine, thereby reducing its efficacy; and can be due to temporary high blood calcium Erzhi heart block, or even an accident risk. with continuous intravenous infusion of 10% calcium gluconate, per day kg of body weight no more than 20-50mg of elemental calcium 【】 (calcium gluconate 9% calcium content of elements, containing 100mg of elemental calcium in calcium content 1.1g). through clinical observation, 5ml per kg body weight per day continuous infusion after , 1 to 3 days in children with serum calcium returned to normal, the clinical symptom control was better than by intermittent intravenous infusion of the control group, after the closure of calcium stable, non-ECG arrhythmia monitoring, urinary calcium was normal, no renal dysfunction In short, continuous intravenous infusion of calcium treatment of infants with vitamin D deficiency tetany significant clinical effect, stability, and security.