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目的观察小剂量多巴胺、酚妥拉明联合治疗婴幼儿重症肺炎的疗效。方法111例婴幼儿重症肺炎患儿随机分成两组,两组均予以常规抗感染、解痉平喘祛痰、吸氧等对症常规治疗,治疗组加用小剂量多巴胺、酚妥拉明联合治疗。多巴胺3～5μg/(kg.min)、酚妥拉明1.5～2.5μg/(kg.min)加入10%葡萄糖注射液20～30ml中静脉推注。结果治疗组咳喘症状减轻及肺部啰音消失快,治疗组有效率高于对照组。结论小剂量多巴胺、酚妥拉明联合治疗婴幼儿重症肺炎疗效佳,且不良反应少,值得基层医院推广。
Objective To observe the efficacy of low-dose dopamine and phentolamine in the treatment of infantile severe pneumonia. Methods A total of 111 infants with severe pneumonia were randomly divided into two groups. The two groups were given routine anti-infective, antispasmodic, antiasthmatic and expectorant treatment, and oxygen therapy. The treatment group was treated with low-dose dopamine and phentolamine. Dopamine 3 ~ 5μg / (kg.min), phentolamine 1.5 ~ 2.5μg / (kg.min) added 10% glucose injection 20 ~ 30ml intravenous injection. Results In the treatment group, the symptoms of cough and asthma were relieved and the pulmonary rales disappeared rapidly. The effective rate of the treatment group was higher than that of the control group. Conclusions Small doses of dopamine and phentolamine are effective in treating severe pneumonia in infants and young children with less adverse reactions, which is worth popularizing in primary hospitals.