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婴幼儿肺炎合并心力衰竭临床常见、也是主要死亡原因之一,提高婴幼儿肺炎心力衰竭的治愈率是儿科重要课题。我们在常规治疗肺炎心衰的基础上加用多巴胺、多巴酚丁胺静脉滴注疗效显著,现将资料完整的36例报道如下。 1 临床资料 1.1 一般资料:64例患儿中男51例,女13例,29天～1岁53例,～2岁8例,>2岁3例,≤1岁占89.3％,随机分为治疗组36例与对照组28例。 1.2 临床表现:全部病例均符合1987年中华人民共和国卫生部小儿肺炎防治方案中肺炎并心衰诊断标准,全部病例均有呼吸超过60次/分,心率超过180次/分,心音低钝,明显紫绀及烦躁不安,肝脏增大,右肋下超过3cm以上。胸片有点片状阴影。
Infants pneumonia complicated with heart failure clinical common, but also one of the major causes of death, improve the cure rate of pneumonia in infants and young children is an important issue in pediatrics. We in the conventional treatment of pneumonia on the basis of heart failure plus dopamine, dobutamine significant effect of intravenous drip, now 36 cases of complete data are reported below. 1 Clinical data 1.1 General information: 64 children with 51 males and 13 females, 29 days to 1 year old in 53 cases, 2 years and 8 cases,> 2 years old in 3 cases, ≤ 1 year accounted for 89.3%, were randomly divided into 36 cases in the treatment group and 28 cases in the control group. 1.2 Clinical manifestations: All cases are in line with the 1987 People’s Republic of China Ministry of Health children’s pneumonia prevention and treatment program of pneumonia and heart failure diagnostic criteria, all cases have more than 60 breath / minute, heart rate more than 180 beats / min, heart sound low blunt, obvious Cyanosis and irritability, enlargement of the liver, more than 3 cm above the right flank. Chest piece a little flaky shadows.