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重症肺炎并发顽固性心衰,临床表现错踪复杂,病情变化迅速,短期内可危及患儿生命,病死率高。1987年以来,我所共收治34例,采用酚妥拉明及阿拉明静注治疗,收到满意效果。1一般资料 本组34例.男23例.女11例。其中1岁以内18例,1～2岁13例,2～3岁3例。2治疗方法 酚妥拉明剂量每次0.5mg/kg,阿拉明剂量为酚妥拉明的1/2量。两药直接加入输液壶,每15分钟1次,待收效(面色红润,心音有力,心率降至140次/min以下,肝脏缩小)后逐渐延长给药间隔时间,依次改为间隔2,3,4小时1次,至心衰彻底纠正后停药。用药当中未出现任何副作用。3疗效评价标准
Severe pneumonia complicated with refractory heart failure, complicated clinical manifestations, rapid changes in the disease, can be short-term life-threatening children, high mortality. Since 1987, I have received a total of 34 cases, using phentolamine and Alamin intravenous treatment, received satisfactory results. 1 General Information The group of 34 patients, 23 males and 11 females. Among them, 18 cases were within 1 year of age, 13 cases were from 1 to 2 years old and 3 cases were from 2 to 3 years old. 2 treatment Phentolamine dose of 0.5mg / kg each time, the amount of Ala Teng phentolamine 1/2 dose. Two drugs directly into the infusion pot, every 15 minutes 1, to be effective (ruddy, strong heartbeat, heart rate dropped to 140 times / min or less, the liver shrunk) and then gradually extend the dosing interval, followed by intervals 2,3, 4 hours 1, until the heart failure completely corrected after withdrawal. Medication which did not appear any side effects. 3 efficacy evaluation criteria