论文部分内容阅读
在抢救感染性休克的综合治疗中,扩容疗法是首要而关键的措施。我们在1981～1982年经治的感染性休克中,有16例对补充血容量重视不够,因而影响了抢救效果,现报告如下.临床资料:16例中,男9例,女7例;年龄为17～60岁间.其中败血症8例,肠道感染3例,肺部感染2例,消化道穿孔致腹膜炎2例,胆道感染1例。治疗方法和教训:16例均采用综合疗法,即控制感染、扩容、纠正酸中毒、激素、血管活性药、强心及吸氧等。现重点叙述扩容疗法.一、7例入院后立即快速补液,先用5%碳酸氢钠300～500毫升,继之用5%葡萄糖盐水200～700毫升静推,静推液体总量约500～1000毫升,于0.5～1小时内推完.然后用5%葡萄糖盐水1000～
In the comprehensive treatment of septic shock, dilatation therapy is the first and key measure. We seized from 1981 to 1982, septic shock in 16 cases of inadequate attention to the amount of added blood supply, thus affecting the rescue effect, are as follows.Clinical data: 16 cases, 9 males and 7 females; age 17 to 60 years old, including 8 cases of sepsis, 3 cases of intestinal infection, 2 cases of lung infection, peritonitis caused by perforation of the digestive tract in 2 cases, 1 case of biliary tract infection. Treatment methods and lessons: 16 cases were used in combination therapy, that is, infection control, expansion, correction of acidosis, hormones, vasoactive drugs, cardiac and oxygen and so on. Now focuses on dilatation therapy .A quick recovery of seven patients immediately after admission, first with 5% sodium bicarbonate 300 ~ 500 ml, followed by 5% glucose saline 200 ~ 700 ml static push, static push liquid total about 500 ~ 1000 ml, push in 0.5 ~ 1 hours, then 5% dextrose 1000 ~