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1979~1997年我院收治重症流脑280例,其中并发心力衰竭者97例。病情越重心力衰竭发生率越高;并发DIC及RDS者易发生心力衰竭;使用以酚妥拉明及654-2为主的血管活性药物可降低心力衰竭发生率;儿童的心力衰竭发生率高于成人;伴有持续高热.频繁抽搐及痰液堵塞等可增加心力衰竭发生率;发生心力衰竭者及早启用强心剂可明显降低死亡率。
From 1979 to 1997, 280 cases of severe meningitis were admitted to our hospital, including 97 cases complicated with heart failure. The higher the incidence of heart failure, the higher the incidence of concurrent DIC and RDS prone to heart failure; the use of phentolamine and 654-2-based vasoactive drugs can reduce the incidence of heart failure; children with high incidence of heart failure In adults; with persistent high fever. Frequent convulsions and sputum clogging can increase the incidence of heart failure; early heart failure occurred in patients with cardiac output can be significantly reduced mortality.