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目的:分析小儿重症肺炎合并心衰的临床表现和治疗方法。方法:回顾性分析我院自2009年5月至2012年2月接收诊治的重症肺炎合并心衰患者54例,随机分为对照组和观察组各27例,对照组给予常规的洋地黄类强心药物治疗,观察组在对照组的基础上加用酚妥拉明和多巴胺。统计对比两组患者治疗效果。结果:经过医护人员的精心治疗和护理,观察组有效率明显高于对照组,疗效显著(X2=4.5231,P<0.05)。结论:小儿重症肺炎合并心衰因其病情重、发展快的特点,应及时组织实施抢救工作,酚妥拉明、多巴胺治疗心衰在临床使用中疗效显著。
Objective: To analyze the clinical manifestations and treatment of severe pneumonia complicated with heart failure in children. Methods: A retrospective analysis of 54 cases of severe pneumonia complicated with heart failure admitted to our hospital from May 2009 to February 2012 were randomly divided into control group and observation group, with 27 cases in each group. The control group was given conventional digitalis Cardiac drug treatment, the observation group in the control group based on the use of phentolamine and dopamine. Statistical comparison of two groups of patients treatment. Results: After the careful treatment and nursing of medical staff, the effective rate of the observation group was significantly higher than that of the control group (X2 = 4.5231, P <0.05). Conclusion: Severe pneumonia complicated with heart failure due to its severe illness and rapid development should be promptly organized for the implementation of the rescue work. Phentolamine and dopamine are effective in clinical treatment of heart failure.