论文部分内容阅读
我院1986年2月应用大剂量洛贝林、莨菪碱类药物综合抢救新生儿肺炎合并呼吸心脏骤停2例,收到较显著效果,现报道如下。例1.男,12天。因受凉后拒奶,口吐白沫,咳嗽3天,以新生儿肺炎入院。查体:体温不升,脉搏80次/分,呼吸20～25次/分,一般情况差,精神萎靡,全身青紫、呼吸表浅时有暂停。颜面青灰,鼻扇,三凹征明显。双肺满布湿罗音,心率80次/分心音低纯、弱,肝脾未触及。实验室检查:血白细胞19×10~9/L,中性粒细胞58%、淋巴细胞42%。入院诊断:新生儿肺炎合并呼吸衰竭、心力衰竭。入院后立即吸氧.给予抗生素、强心、纠酸等综合抢救治疗。于入院后2小时突然呼吸心跳骤停,即静脉推注洛贝林6mg、东莨菪碱0.9mg、654--220mg,5分钟后再
Our hospital in February 1986 the application of large doses of Lobelin, comprehensive treatment of neonatal pneumonia with respiratory alkalosis 2 cases of cardiac arrest, received more significant results are reported below. Example 1. Male, 12 days. Refused to milk because of cold, spit foam at the mouth, cough for 3 days to hospital neonatal pneumonia. Physical examination: body temperature does not rise, the pulse of 80 beats / min, breathing 20 to 25 beats / min, the general situation is poor, apathetic, bruising, breathing superficial pause. Face gray, nose fan, three concave signs obvious. Full lung wet rales, heart rate 80 times / min heart sound low pure, weak, liver and spleen not touched. Laboratory tests: white blood cells 19 × 10 ~ 9 / L, 58% of neutrophils, lymphocytes 42%. Admission diagnosis: neonatal pneumonia with respiratory failure, heart failure. Oxygen immediately after admission. Give antibiotics, cardiac, correcting acid and other comprehensive rescue treatment. Sudden respiration of cardiac arrest 2 hours after admission, that is, intravenous bololins 6mg, scopolamine 0.9mg, 654--220mg, 5 minutes later