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38例均为住院患儿,男25例,女13例;年龄3～6个月12例,6～12个月10例,1～3岁8例,3～5岁8例。全部病例均在肺炎的基础上同时合并呼吸衰竭及心力衰竭,其中6例同时并发脑病,18例并发肠麻痹。 治疗方法:本组全部病例在吸氧、呼吸兴奋剂、强心剂、抗感染、肾上腺皮质激素、纠酸、利尿、平喘等综合措施基础上,给予丹参注射液,<1岁每次2ml,>1岁每次4ml,加入5％～10％葡萄糖液30～50ml中滴注,每天2次。酚妥拉明0.5～1mg/kg次加入糖水30～50ml中静脉点滴(总量<10mg/次),每日1～4次。 疗效评定:①显效:经治疗24小时,病情明显好转,面色转红润,呼吸困难显著减轻或消失,其他并发症明显好转或消失;②有效:经治疗24～48小时,心衰、呼衰及其他并发症的症状与体征改善;③无效:经治疗72小时,病情无改善并死亡者。 治疗结果:显效32例(84.21％),有效5例(13.16％),无效1例(2.63％),总有效率97.37％。 讨论
Thirty-eight patients were hospitalized, including 25 males and 13 females. Twelve patients aged 3 to 6 months, 10 patients 6 to 12 months, 8 patients 1 to 3 years and 8 patients 3 to 5 years old. All cases were combined with respiratory failure and heart failure on the basis of pneumonia, including 6 cases of concurrent encephalopathy, 18 cases of intestinal paralysis. Treatment: All patients in this group on the basis of comprehensive measures of oxygen, respiratory stimulants, cardiac, anti-infective, adrenocorticotropic hormone, acid correction, diuretic, asthma and other measures, given Salvia injection, 1 year old each 4ml, add 5% ~ 10% glucose solution 30 ~ 50ml instillation, 2 times a day. Phentolamine 0.5 ~ 1mg / kg was added 30 ~ 50ml syrup intravenous drip (total <10mg / time) 1 to 4 times a day. Efficacy: ① markedly effective: 24 hours after treatment, the condition was significantly improved, turned red face, breathing difficulties significantly reduced or disappeared, other complications significantly improved or disappeared; ② effective: 24 to 48 hours after treatment, heart failure, respiratory failure and Other complications and signs of improvement; ③ invalid: 72 hours after treatment, no improvement and death. Results: 32 cases were markedly effective (84.21%), 5 cases (13.16%) effective and 1 case (2.63%) ineffective with a total effective rate of 97.37%. discuss