Can clinical signs predict hypoxaemia in Papua New Guinean children with moderate and severe pneumonia?

被引：33

作者：

Laman, M ^{[1
]}

Ripa, P ^{[1
]}

Vince, J ^{[1
]}

Tefuarani, N ^{[1
]}

机构：

[1] Univ Papua New Guinea, Sch Med & Hlth Sci, Div Clin Sci, Discipline Child Hlth, Boroko, Papua N Guinea

来源：

ANNALS OF TROPICAL PAEDIATRICS | 2005年 / 25卷 / 01期

关键词：

D O I：

10.1179/146532805X23317

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Pulse oximetry was performed on 77 children admitted with acute lower respiratory tract infections (ALRI) to the children's ward in Port Moresby General Hospital, Papua New Guinea over a 4-month period in 2002. Clinical findings were correlated with different levels of hypoxaemia, <93%, <90% and <85%. Cyanosis, head nodding and drowsiness were good predictors of hypoxia but lacked sensitivity. Decisions to use oxygen based on these signs would therefore result in a significant number of children with hypoxia not receiving oxygen. Pulse oximetry is the best indicator of hypoxaemia in children with ALRI and, although relatively expensive, its use might be cost-effective in controlling oxygen requirements.

引用

页码：23 / 27

页数：5

共 17 条

[1] ASSESSMENT OF CLINICAL-CRITERIA FOR IDENTIFICATION OF SEVERE ACUTE LOWER RESPIRATORY-TRACT INFECTIONS IN CHILDREN [J].