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毛细支气管炎多发生在2岁以内,是小儿常见的病毒性下呼吸道炎症疾病。近年来,我们应用强力宁注射液和酚妥拉明联合治疗毛细支气管炎54例,疗效满意,现总结报告如下。 1 临床资料 1.1 一般资料 总病例数为108例,均符合毛细支气管炎诊断标准。随机分为强力宁加酚妥拉明治疗组和对照组。治疗组54例,其中男35例,女19例;新生儿1例,～6个月10例,～1岁23例,～2岁16例,～5岁4例。对照组54例,其中男36例,女18例;新生儿2例,～6个月11例,～1岁21例,～2岁15例,～5岁5例。 1.2 临床表现 全部病例均有急性喘息、咳嗽、发热、呼吸困难、鼻翼扇动、三凹征,肺部听诊以干性啰音和哮鸣音为主,部分患儿有细湿啰音。X线检查表现为不同程度的梗阻性肺气肿及局限性肺不张、斑点状阴影。白细胞总数(4～11)×10~9/L,中性粒细胞0.30～0.70,淋巴细胞0.30～0.70。
Bronchiolitis occurs more than 2 years old, is a common viral lower respiratory tract inflammation in children. In recent years, we use powerful Ning injection and phentolamine combined treatment of bronchiolitis in 54 cases, the effect is satisfactory, are summarized as follows. 1 Clinical data 1.1 General information The total number of cases was 108 cases, are in line with the diagnostic criteria for bronchiolitis. Randomly divided into strong Ning and phentolamine treatment group and control group. Treatment group of 54 patients, 35 males and 19 females; 1 newborn, ~ 6 months in 10 cases, ~ 1 year old in 23 cases, ~ 2 years in 16 cases, ~ 5 years old in 4 cases. Control group of 54 patients, including 36 males and 18 females; 2 newborns, ~ 6 months in 11 cases, ~ 1 year old in 21 cases, ~ 2 years in 15 cases, ~ 5 years old in 5 cases. 1.2 Clinical manifestations All cases have acute wheezing, cough, fever, dyspnea, nasal flap, three concave signs, auscultation of the lungs to dry rales and wheeze-based, some children have fine wet rales. X-ray examination showed varying degrees of obstructive pulmonary emphysema and focal atelectasis, speckled shadows. The total number of white blood cells (4 ~ 11) × 10 ~ 9 / L, neutrophils 0.30 ~ 0.70, lymphocytes 0.30 ~ 0.70.