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目的:观察多巴胺辅助治疗小儿术后并发肺炎及心力衰竭的临床疗效。方法:选择我院收治的小儿术后并发肺炎及心力衰竭50例,随机分为观察组和对照组各25例;对照组给予抗感染、强心利尿、镇咳平喘等常规治疗,观察组在常规治疗基础上加用多巴胺治疗。比较两组患儿治疗前后血压、心率、左心室射血分数、左心室舒张末期内径变化和临床疗效。结果:观察组显效19例,有效6例,总有效率100.0%;对照组显效15例,有效6例,无效4例,总有效率84.0%。两组总有效率比较,差异显著(P<0.05)。结论:采用多巴胺辅助治疗小儿术后并发肺炎及心力衰竭疗效较好。
Objective: To observe the clinical effect of dopamine adjuvant therapy for pneumonia and heart failure in children after operation. Methods: Fifty children with pneumonia and heart failure admitted to our hospital were randomly divided into observation group and control group with 25 cases each. The control group was given conventional therapy such as anti-infective, cardiac diuretic, antitussive and antiasthmatic. The observation group On the basis of conventional treatment with dopamine treatment. The changes of blood pressure, heart rate, left ventricular ejection fraction, left ventricular end-diastolic diameter, and clinical effect were compared between the two groups before and after treatment. Results: In the observation group, 19 cases were markedly effective and 6 cases were effective. The total effective rate was 100.0%. In the control group, 15 cases were markedly effective, 6 effective and 4 ineffective, with a total effective rate of 84.0%. The total effective rate between the two groups, the difference was significant (P <0.05). Conclusion: The adjuvant treatment of dopamine in children with postoperative pneumonia and heart failure is better.