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我院自1997年4月-2002年3月,共收治小儿重症肺炎呼吸循环衰竭43例,治疗26例,死亡17例。1临床资料1.1一般资料第1组18例;男14例,女4例。第2组10例;男7例,女3例。第3组15例;男10例,女5例,3组年龄分布近似。43例中新生儿肺炎9例,麻疹并发肺炎6例,百日咳肺炎4例,支气管肺炎24例,3组肺炎类型近似。1.2用药指征烦躁不安或嗜睡,面色苍白或面色青灰,唇、指(趾)端发绀、四肢冷;呼吸浅快,60次以上;呼吸:心率<1:2。呼吸减慢,节律不齐、暂停,双肺布满罗音;心率180次以上,肝肋下3cm以上或短期内增大1.5cm以上。1.3治疗方法共同治疗:抗感染、吸氧、强心、纠酸、肾上腺皮质激素等综合治疗措施,有并发症者给予相应的治疗。
Our hospital from April 1997 to March 2002, a total of 43 children with severe pneumonia respiratory failure, treatment of 26 cases, 17 cases of death. 1 Clinical data 1.1 General Information Group 1 18 cases; 14 males and 4 females. Group 2 10 cases; 7 males and 3 females. Group 3 15 cases; 10 males and 5 females, 3 age distribution similar. 43 cases of neonatal pneumonia in 9 cases, measles complicated by pneumonia in 6 cases, 4 cases of pertussis pneumonia, bronchial pneumonia in 24 cases, 3 groups of pneumonia types are similar. 1.2 Indications irritability or drowsiness, pale or pale gray, lip, finger (toe) end of cyanosis, limbs cold; shallow breathing, more than 60 times; breathing: heart rate <1: 2. Breathing slowed, irregular rhythm, suspension, lungs covered with rales; heart rate more than 180 times, 3cm above the liver ribs or short-term increase of more than 1.5cm. 1.3 treatment of common treatment: anti-infection, oxygen, cardiac, correcting acid, adrenal cortex hormones and other comprehensive treatment measures, complications were given the appropriate treatment.