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我院自1996年～1999年对36例小儿重症肺炎合并心力衰竭的患儿,在常规治疗抗感染、强心、利尿、吸氧等综合治疗效果不佳时,加用酚妥拉明治疗,疗效显著,报道如下。 1 资料与方法 1.1 一般资料:36例住院患儿,男25例,女11例,28天～3个月10例,3～6个月18例,6个月～1岁6例,1～2岁2例。其中烦躁32例,嗜睡4例,高热19例,腹胀8例。病程最长12天,最短1天,平均4天。毛细支气管炎20例,支气管肺炎16例,合并先天性心脏病9例,惊厥6例;X线胸片检查显示肺纹理增加12例,肺气肿6例。肺部片状阴影18例,均合并心衰。诊断标准以儿科学教材为准。 1.2 治疗方法:36例病人在常规治疗抗感染、强心利
In our hospital from 1996 to 1999 36 cases of children with severe pneumonia complicated with heart failure in the conventional treatment of anti-infective, cardiac, diuretic, oxygen and other comprehensive treatment of poor results, plus phentolamine treatment, Significant effect, reported as follows. 1 Materials and Methods 1.1 General Information: 36 cases of hospitalized children, 25 males and 11 females, 28 days to 3 months in 10 cases, 3 to 6 months in 18 cases, 6 months to 1 year in 6 cases, 1 ~ 2 years old in 2 cases. 32 cases of irritability, drowsiness in 4 cases, fever in 19 cases, abdominal distension in 8 cases. Duration of up to 12 days, the shortest one day, an average of four days. 20 cases of bronchiolitis, 16 cases of bronchial pneumonia, 9 cases of congenital heart disease, convulsions in 6 cases; X-ray examination showed increased lung texture in 12 cases, emphysema in 6 cases. Flakes of the lungs in 18 cases, both with heart failure. Diagnostic criteria to pedagogy text shall prevail. 1.2 treatment: 36 patients in the conventional treatment of anti-infective, strong heart and benefit