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本文总结了用中西医结合方法治疗小儿破伤风32例,纠正死亡率为6.67％。中药治疗原则为驱风、镇痉、解表、透邪。方剂以五虎追风汤为基础,便秘者加大黄,治疗中应重视防止便秘,以免加重病情。清创术是必要的,应在使用破伤风抗毒血清之后进行,抗毒血清的配合使用可中和血内尚未与神经结合的毒素,但用量不必过大。配合使用青霉素可抑制细菌的繁殖。治疗中应全力控制抽搐,但要防止过量引起呼吸抑制,气管切开如有必要不可拖延。小儿易感染肠蛔虫症,蛔虫在体内环境改变后,易上行至咽喉部引起喉头痉挛或抽搐,治疗中应予注意,必要时可服驱虫药以减少这一危险。
This article summarizes the use of traditional Chinese and Western medicine treatment of pediatric tetanus in 32 cases, corrected mortality was 6.67%. Chinese medicine treatment principle for the wind, antispasmodic, solution table, through the evil. Prescription to Wuhu Herbal soup-based, constipation and rhubarb, treatment should pay attention to prevent constipation, so as not to aggravate the condition. Debridement is necessary, should be carried out after the use of anti-virus tetanus antitoxic serum can be used in conjunction with the blood and the nerves have not yet bound toxins, but not excessive. With the use of penicillin can inhibit bacterial growth. Treatment should be fully controlled seizures, but to prevent excessive respiratory depression, tracheotomy if necessary without delay. Infection in children as intestinal roundworm disease, roundworm in the body after the environment changes, easy up to the throat caused by laryngeal spasms or convulsions, should pay attention to the treatment, if necessary, can be taken to eliminate insects and insecticides to reduce the risk.