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笔者在近1年来医疗实践中进行了25例肺心病的治疗观察,取得显著的效果,现总结报告如下: 1 临床资料及方法 1.1 临床资料 25例患者中男15例,女10例,年龄最小55岁,最大83岁,平均69岁。全部患者均符合1980年全国肺心病第三次专业全议修订的诊断标准。无明显中度以上肺脑病,消化道出血,重度电解质紊乱且肝、肾功能正常。 1.2 治疗方法 25例患者均在用抗生素、支气管扩张剂、止咳祛痰剂、吸氧、纠正酸碱失衡及少量强心、利尿等内科常规治疗基础上,加用苄多合剂(10％葡萄糖250ml,苄胺唑啉10mg,多巴胺20mg,维生素B610mg,10％KCl 10ML)静滴,30滴/分,每日1次,连用7～10天为1疗程。
The author in the past year medical practice in the treatment of 25 cases of pulmonary heart disease observed and achieved significant results, the report is summarized as follows: 1 Clinical data and methods 1.1 Clinical data 25 patients, 15 males and 10 females, the youngest 55 years old, maximum 83 years old, average 69 years old. All patients are in line with the 1980 National Coroner’s third professional full revision of the diagnostic criteria. No significant moderate pulmonary encephalopathy, gastrointestinal bleeding, severe electrolyte imbalance and liver, kidney function is normal. 1.2 Treatment of 25 patients were treated with antibiotics, bronchodilators, expectorant cough, oxygen, correct acid-base imbalance and a small amount of cardiac, diuretic and other conventional medical treatment based on the addition of benzyl alcohol mixture (10% glucose 250ml , Benzylazoline 10mg, dopamine 20mg, vitamin B610mg, 10% KCl 10ML) intravenous infusion, 30 drops / min, day 1, once every 7 to 10 days for a course of treatment.