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本文分析单纯大剂量应用多巴胺(简称DA)治疗胆源性休克的效果,提出DA在治疗胆休中的作用、用法、用量。我院自1975年至1979年6月间共收治105例胆源性休克,其中单纯选用DA治疗之重症休克23例。原发病均为胆石症,继发急性梗阻性化脓性胆管炎,无尿时间均在6小时以上,最长15小时。治疗方法:1.原发病的治疗:入院后即开始应用抗菌素控制感染,采用中药和电极板排石6例,行胆总管切开取石T型管引流17例,同时行肝脓肿切开引流2例。2.休克的处理:在采用抗休克综合疗法的同时静脉滴注DA。将DA溶于10％葡萄糖液或0.9％生理盐水中,配成10～100毫克％的溶液,以20～80滴/
This article analyzes the effect of simple high-dose dopamine (referred to as DA) in the treatment of biliary shock, the role of DA in the treatment of gallbladder, usage, dosage. A total of 105 cases of gallstone shock were treated in our hospital from 1975 to June 1979, of which 23 cases were treated with DA alone. Primary disease are cholelithiasis, secondary acute obstructive suppurative cholangitis, anuria time are more than 6 hours, up to 15 hours. Treatment: 1. The treatment of primary disease: After admission, antibiotics were used to control infection, using traditional Chinese medicine and electrode plate row of stone in 6 cases, the common bile duct incision stone T-tube drainage in 17 cases, while liver abscess incision and drainage 2 cases. Shock treatment: In the use of anti-shock therapy combined with intravenous drip DA. The DA dissolved in 10% glucose solution or 0.9% saline, dubbed 10 ~ 100 mg% solution to 20 to 80 drops /