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过氧化氢溶液静脉供氧以抢救与治疗严重缺氧,在临床上已收到较好的效果。笔者曾见到过氧化氢溶液静脉供氧引起脑血管气栓一例,兹介绍如下:患者,女性,48岁,住院号750397因咳喘10余年,发热、咳黄脓痰伴嗜睡一周而于1975年9月22日入院,入院诊断:慢性支气管炎继发感染、肺气肿、肺原性心脏病、肺性脑病。实验室检查:白细胞12000/立方毫米,中性粒细胞82%,淋巴细胞18%,红细胞400万/立方毫米,血红蛋白12克%,血小板25万/立方毫米,钾3.8毫当量/升,钠135毫当量/升,氯65毫当量/升,CO_2结合力82体积%。入院后经抗菌素、低量持续给氧、祛痰、解痉、强心利尿等对症支持治疗三周余病情日益加重,神智不清,两手抓空,乃于10月15日给予50%葡萄糖溶液40毫升加过氧化氢溶液6毫升静脉推注,一日三次。并静滴细胞色素C及ATP,次日给予低分子右旋醣酐500毫升加过氧化氢
Hydrogen peroxide solution venous oxygen to rescue and treatment of severe hypoxia, has received good clinical results. The author has seen hydrogen peroxide solution venous oxygen caused by cerebral vascular air embolism case, it is introduced as follows: patients, women, 48 years old, hospitalized 750397 due to cough and asthma for more than 10 years, fever, cough yellow purulent phlegm with lethargy one week in 1975 In September 22, admission, admission diagnosis: secondary to chronic bronchitis infection, emphysema, pulmonary heart disease, pulmonary encephalopathy. Laboratory tests: leukocyte 12000 / mm3, neutrophils 82%, lymphocytes 18%, erythrocytes 4000000 / mm3, hemoglobin 12%, platelets 250000 / cubic millimeter, potassium 3.8 milliequivalents / liter, sodium 135 Milliequivalents / liter, chlorine 65 milliequivalents / liter, CO 2 binding force 82% by volume. Admission after antibiotics, low sustained oxygen, expectorant, antispasmodic, cardiac diuretic and other symptomatic supportive treatment of more than three weeks more and more aggravated, confusion, both hands empty, was given on October 15 50% glucose solution 40 ml plus hydrogen peroxide solution 6 ml IV bolus three times a day. And intravenous infusion of cytochrome C and ATP, the next day to give low molecular weight dextran 500 ml plus hydrogen peroxide