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1 病历摘要病例,男,80岁,因反复咳嗽、咯痰、呼吸困难20年,加重10天入院。诊断为慢支急性期、阻塞性肺气肿合并肺心病心功能不全,心功能Ⅳ级。治疗方法:常规给持续低流量吸氧,使用菌心治、新青霉素Ⅱ抗感染,止咳化痰,利尿消肿,纠正酸碱水电解质紊乱,同时给5％GS500ml中加入多巴胺40mg、氨茶碱0.25静滴,20D/min,每日1次。执行医嘱时常规检查药液为无色透明即给病人输注,严格控制滴速,并且观察心率、心律、血压、呼吸、尿量及症状的改善。在输液中途(输入此液体约3h),我们发现药液颜色变成浅褐色,无混浊及沉淀,立即换下液体观察病人心率、心律、血压均无影响,亦无其他不良反应。后改为多巴胺20mg加入5％GS250ml静滴20D/min,每日1次,氨茶碱0.25加入5％GS250ml静滴,每日
A case history summary, male, 80 years old, due to repeated cough, expectoration, breathing difficulties for 20 years, increased 10 days admission. Diagnosis of chronic bronchitis, obstructive pulmonary emphysema with pulmonary heart disease, heart function grade Ⅳ. Treatment: conventional to continuous low flow oxygen, the use of bacteria heart, new penicillin Ⅱ anti-infective, cough and phlegm, diuretic swelling, correct acid-base electrolyte imbalance, while adding 5% GS500ml dopamine 40mg, aminophylline 0.25 intravenous infusion, 20D / min, once daily. Performing routine medical examination when the liquid is colorless and transparent infusion to patients, strict control of drip rate, and observe the heart rate, heart rate, blood pressure, respiration, urine output and symptom improvement. In the infusion halfway (enter the liquid about 3h), we found that liquid color into a light brown, no turbidity and precipitation, immediately replace the liquid to observe the patient’s heart rate, heart rate, blood pressure had no effect, no other adverse reactions. After the change to dopamine 20mg added 5% GS250ml intravenous infusion 20D / min, 1 day, aminophylline 0.25 added 5% GS250ml intravenous infusion, daily