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我院儿科1965年1月至2月底共收治婴幼儿各种肺炎216例(包括新生儿肺炎,病毒性肺炎,细菌性肺炎等),采用综合疗法治疗,取得良好效果,降低了病死率。共死亡3例,病死率1.38％。现报告如下: 患儿年龄,1-6月者105名,7-12月者58名,1-3岁者35名,3岁以上者18名。绝大部分为重症。有的高烧40℃,有的极度呼吸困唯,有的抽风,有的呼吸衰竭。三分之一左右患儿出现不同程度的心力衰竭。5例有先天性心腔病。 (一)入院后用药情况: (1)抗菌素选择:90％入院重症患儿,均用青霉素与链霉素。青霉素每日每公斤体重2-6万单位,每日两次或每六小时一次,肌内注射。链霉素每日每公斤体重20-30毫克,每日两次,肌内注射。部分病例静注金霉素或四环素,一次100-250毫克。一部分病例四坏素与链霉素并用。少数病例用合霉素或土霉素。
Our hospital pediatric from January 1965 to the end of February treated a total of 216 cases of various types of pneumonia in infants and young children (including neonatal pneumonia, viral pneumonia, bacterial pneumonia, etc.), the use of comprehensive treatment, achieved good results and reduced mortality. A total of 3 deaths, the fatality rate of 1.38%. The report is as follows: The age of children, 105 in January-June, 58 in July-December, 35 in 1-3, and 18 in 3-year-old. Mostly severe. Some high fever 40 ℃, some extreme difficulty breathing, and some ventilation, and some respiratory failure. About one-third of children with varying degrees of heart failure. 5 cases of congenital heart disease. (A) medication after admission: (1) antibiotic selection: 90% admitted to hospitalized patients with severe penicillin and streptomycin. Penicillin daily 2-6 million units of weight per kilogram, twice daily or once every six hours, intramuscular injection. Streptomycin daily 20-30 mg per kilogram of body weight, twice a day, intramuscularly. Some cases of intravenous chlortetracycline or tetracycline, a 100-250 mg. Part of the four cases of bad factors and streptomycin used. A few cases with oromycin or oxytetracycline.