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急性毛细支气管炎是以喘憋为主要特征的一种特殊性肺炎,又称喘憋性肺炎.临床上以剧咳、发作性呼吸困难、阵发性喘憋、呼气性喘鸣、明显鼻煽及“三凹”征为主要表现.我科1996年元月—1998年元月采用酚妥拉明加阿拉明佐治急性毛细支气管炎取得较好疗效,现报道如下.1 临床资料1.1 一般资料 共60例,男36例,女24例,男女之比为1.5:1.发病年龄4月～2岁,其中6月以内8例,占26.7%.发病季节以冬春季节为主,就诊病程≤5d 48例,6～10d内12例.1.2 治疗方法60例患儿随机分为治疗组及对照组各30例,两组患儿性别、年龄、症状和体征基本相近.常规予抗生素、病毒唑、吸氧、激素及镇静治疗,有心衰者纠正心衰.治疗组加用酚妥拉明0.5～1mg·kg(-1),阿拉明0.25～0.5 mg·kg~(-1),加入10%葡萄糖30～50ml缓慢静脉注注,必要时6～8h可重复应用一次,根据病情可连用3～5d.
Acute bronchiolitis is characterized by wheezing as a special type of pneumonia, also known as asthmatic pneumonia. Clinical cough, episodic dyspnea, paroxysmal asthma, exhaled wheezing, conspicuous nose Incite “three concave” sign as the main performance.Our department from January 1996 to January 1998 using phentolamine plus Almining acute bronchiolitis to obtain better curative effect, are reported as follows.1 clinical data 1.1 general information A total of 60 cases, 36 males and 24 females, the ratio of men to women was 1.5: 1. The age of onset from April to 2 years, of which 8 cases within 6 months, accounting for 26.7% .The season of onset in winter and spring-based, treatment duration ≤ 5d in 48 cases, 6 ~ 10d in 12 cases .1.2 Treatment Methods 60 cases were randomly divided into treatment group and control group of 30 cases, the two groups of children with similar sex, age, symptoms and signs are similar to conventional antibiotics, viruses The patients in the treatment group were treated with phentolamine 0.5-1 mg · kg -1 and Alaramine 0.25-0.5 mg · kg -1, Add 10% glucose 30 ~ 50ml slow intravenous injection, if necessary, 6 ~ 8h can be applied repeatedly, according to the disease can be used 3 ~ 5d.