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我科1993年1月-1994年1月收治肺炎150例,其中30例为危重肺炎并心力衰竭。本文介绍抢救危重肺炎心衰用强心药治疗效果不佳时应用酚妥拉明收速效。临床资料30例中男17,女13例,比例1.1∶1。年龄45天-4月3例。6-9月12例,10月-1岁5例。呼吸次数50～60次/分25例,60-80次/分25例。均存在严重的呼吸困难。心率150-170次/分6例,180-200次/分14例。均心衰Ⅲ,双肺听诊,以哮鸣音为主6例,双肺闻及中小水泡音24例。肝大右肋下2-3.5cm15例,4-5cm5例,质中等硬。神志恍惚,精神萎靡18例,烦躁不安12例。验血白细胞总数>1万12例,<1万18例。中性粒细胞80%以上10例。
Our department from January 1993 to January 1994 admitted pneumonia in 150 cases, of which 30 cases of severe pneumonia and heart failure. This article describes the rescue of critically ill patients with cardiac failure cardiac pectoris when the application of phentolamine withdrawal effect. Clinical data of 30 cases, 17 males and 13 females, the ratio of 1.1: 1. Age 45 days - April 3 cases. June-September 12 cases, October -1 years old in 5 cases. Breathing 50 to 60 beats / min 25 cases, 60-80 beats / min 25 cases. There are serious breathing difficulties. Heart rate 150-170 beats / min in 6 cases, 180-200 beats / min in 14 cases. Heart failure Ⅲ, lung auscultation, wheeze-based 6 cases, lung smear small and medium blisters in 24 cases. Liver right rib 2-3.5cm15 cases, 4-5cm5 cases, medium hard. Trance, trance in 18 cases, irritability in 12 cases. The total number of white blood cells> 12,000 cases, <18,000 cases. Neutrophils more than 80% in 10 cases.