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本文介绍了山莨菪碱加碳酸氢钠治疗喘憋性肺炎或喘息性枝气管炎的止喘疗效。碳酸氢钠用5%浓度、3～5ml/kg/次缓慢静注或快速静滴,山莨菪碱0.5mg/kg/次加入碳酸氢钠中或另加入10%葡萄糖中静注或静滴。其疗效与单用氨茶碱静滴对比,喘憋缓解速度、显效率均明显优于氨茶碱。观察组、对照组各治疗50例。观察组2小时内显效率为72%,而对照组仅为46%。呼吸衰竭缓解率观察组为75%,而对照组仅为50%。本文认为其治疗机理与提高肾上腺素能神经应激能力,改善肺血循环增加肺血流量,有利于解除气道痉挛,减少分泌物渗出,两种药物相辅相乘有关。
This article describes the anisodamine plus sodium bicarbonate in the treatment of wheezing pneumonia or asthmatic bronchitis Zhichuan efficacy. Sodium bicarbonate with 5% concentration, 3 ~ 5ml / kg / intravenous infusion or rapid intravenous infusion of anisodamine 0.5mg / kg / addition of sodium bicarbonate or additional 10% glucose intravenous or intravenous infusion. The efficacy and single intravenous infusion of aminophylline, asthma alleviate the speed, the significant efficiency were significantly better than aminophylline. Observation group, control group, 50 cases of each treatment. In the observation group, the effective rate was 72% within 2 hours, while the control group was only 46%. Respiratory failure response rate was 75% in the observation group, while the control group was only 50%. This paper considers that its mechanism of treatment and improve adrenergic nerve stress ability to improve pulmonary blood flow to increase pulmonary blood flow is conducive to relieve airway spasm and reduce exudative secretions, the two drugs complement each other.