论文部分内容阅读
贵刊1979年第12期刊载韩焱同志“150例重症小儿肺炎早期应用强心甙临床疗效观察”一文阅后获益不少,但感有些问题,愿提出与作者编者商榷。 1.关于重症小儿肺炎的诊断标准问题,据华东片小儿呼吸道疾病防治会议的分型标准认为:凡具有下列条件之一者为重型:①重度呼吸困难及咳喘严重,吸氧短期不能缓解,有中毒症状或神经系统症状者。②有严重并发症(如心衰、大片肺不张、张力性气胸及中毒性脑病等)者。极重型:有明显呼吸衰竭或周围循环衰竭或弥漫性血管内凝血。据此对照韩同志报告病例之病情似非全部符合上述条件。
Published in 1979, No. 12, published in 1979, No. 12, published by Comrade Han Yan “150 cases of severe pneumonia in children with early application of cardiac glycosides clinical efficacy,” a text reading a lot of benefit, but there are some questions, would like to put forward the author’s editor to discuss. 1. On the diagnostic criteria for severe pneumonia in children, according to Huadong Tablet Pediatric Respiratory Disease Prevention and Control Conference of the sub-type criteria that: one of the following conditions are heavy: ① severe respiratory difficulties and severe asthma, oxygen can not be alleviated short-term, Poisoning or nervous system symptoms. ② serious complications (such as heart failure, large atelectasis, tension pneumothorax and toxic encephalopathy, etc.). Extremely severe: Obvious respiratory failure or peripheral circulatory failure or diffuse intravascular coagulation. According to this, the symptoms of the reported cases of comrades Korea may not all meet the above conditions.