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本文总结本院儿科17年来感染休克50例,分两阶段:(1)无统一的诊疗方案,血管活性药以正肾为主,病死率高。(2)按全国统一诊疗方案进行抢救,血管活性药以扩血管药为主。加强扩容、纠酸、强心、激素、DIC加用肝素。混合型采用脱水及边脱边补的液体疗法等。明显地降低病死率。30例中除2例12小时内死亡,余28例均治愈。实践证明本方案是较好的,但对晚期难治性休克抢救尚有困难。对这类病人似可在综合治疗基础上,试用药理剂量的激素疗法以提高疗效。
This article summarizes the hospital pediatrics in the past 17 years 50 cases of shock infection, divided into two phases: (1) no uniform diagnosis and treatment programs, vasoactive drugs are mainly positive kidney, high case fatality rate. (2) According to the national unified diagnosis and treatment program for rescue, vasoactive drugs to vasodilator-based. Strengthen the expansion, correcting acid, cardiac, hormones, DIC plus heparin. Mixed use of dehydration and edge off complement liquid therapy. Significantly reduce mortality. 30 cases in addition to 2 cases died within 12 hours, more than 28 cases were cured. Practice has proved that this program is better, but the treatment of advanced refractory shock is still difficult. For such patients may be based on the comprehensive treatment, the trial of pharmacological doses of hormone therapy to improve efficacy.