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我们用蝮蛇抗栓酶治疗3例由于感染等因素致咳嗽吐痰加重、紫绀明显、呼吸困难及心功能进一步恶化的慢性肺心病急性发作患者取得了较好的效果。 例1:74岁,因慢性咳嗽吐痰伴气促15年受凉后加剧10天入院。稍发热,咳吐黄脓痰每天约200ml,近3天来不能平卧入睡。体查:体温37.7℃,呼吸30次,脉搏124次,血压14.7/9.33kPa。半坐卧位,颈静脉充盈,桶状胸,双肺可闻湿罗音及少量干罗音。心率124次,律齐。腹部阴性。双下肢轻度水肿,甲床紫绀,可见杵状指。血常规;血红蛋白150g/L,红细胞6×10~(12)/L,白细胞8.7×10~9/L,中性79％,淋巴21％。胸透;双肺纹理增粗。入院诊断为慢性支气管炎,阻塞性肺气肿,肺心病。持续低流量给氧,青霉素、庆大霉素、氨茶碱及静脉输液等治疗后,体温
We use viper antithrombin treatment of 3 cases due to infection and other factors caused by increased cough and phlegm, cyanosis was obvious, dyspnea and further deterioration of cardiac function in patients with acute onset of chronic pulmonary heart disease have achieved good results. Example 1: 74 years old, due to chronic cough and spit sputum accompanied by 15 days of cold intensified after admission to hospital for 10 days. Slight fever, cough and yellow purulent sputum about 200ml per day, the past three days can not lie down to sleep. Physical examination: body temperature 37.7 ℃, breathing 30 times, pulse 124 times, blood pressure 14.7 / 9.33kPa. Semi-sitting supine, filling the jugular veins, barrel chest, lungs can be heard wet rales and a small amount of dry rales. Heart rate 124 times, law Qi. Abdominal negative. Mild edema of both lower extremities, cyanosis nail bed, showing clubbing refers to. Blood; hemoglobin 150g / L, red blood cells 6 × 10 ~ (12) / L, white blood cells 8.7 × 10 ~ 9 / L, 79% neutral, lymph 21%. Chest throat; double lungs texture thickening. Admission diagnosis of chronic bronchitis, obstructive emphysema, pulmonary heart disease. Continuous low flow oxygen, penicillin, gentamicin, aminophylline and intravenous fluids after treatment, body temperature