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多巴胺是一种β—受体兴奋剂,由于它能选择性地扩张内脏血管,使肾脏血流量增多,改善肾脏微循环的灌注,故近年来在抢救休克中被视为理想的药物之一,我们在抢救2例急性间壁性心肌梗塞心源性休克病人时,比较大量地用了多巴胺,病人虽然被抢救过来,但却因注射部位组织的坏死而增加了病人的痛苦,延长了病程。因此如何从这2例病人的痛苦中去分析原因、吸取教训、杜绝类似情况的再发生,是本文讨论的目的。
Dopamine, a β-receptor agonist, has been considered as one of the ideal drugs in rescuing shock in recent years due to its ability to selectively expand visceral blood vessels, increase renal blood flow, and improve renal microcirculation perfusion. In the rescue of 2 patients with acute myocardial infarction due to acute myocardial infarction, dopamine was used in large quantities. Although the patient was rescued, the patient’s pain was increased and the duration of the disease was increased due to necrosis of the injection site. Therefore, it is the purpose of this article to analyze the causes of these 2 patients’ pains, learn lessons from them and prevent the recurrence of similar situations.