论文部分内容阅读
我院自1982年至1987年6年间共收治流行性脑脊髓膜炎81例,其中暴脑22例(占27.1％)。休克型15例(轻型7例,重型8例),脑型2例,混合型5例。全部采用东莨若碱为主要药物,同时配合扩容、纠酸、强心、脱水、抗感染等综合治疗。对于DIC筛选指标有异常者,同时用肝素治疗。结果19例痊愈,3例死亡。 体会:暴脑自60年代先后应用阿托品、山莨菪碱、东莨菪碱治疗后,病死率显著下降,因该类药物除能拮抗微血管痉挛、抑制血小板促血栓素合成外,还可将淤滞于组织内的酸性产物如乳酸等大
81 cases of epidemic cerebrospinal meningitis were treated in our hospital from 1982 to 1987, of which 22 cases were juvenile (accounting for 27.1%). Shock type in 15 cases (7 cases of light, 8 cases of heavy), 2 cases of brain, 5 cases of mixed. All use of camptothecin as the main drug, at the same time with the expansion, correcting acid, cardiac, dehydration, anti-infective and other comprehensive treatment. For DIC screening index abnormalities, while with heparin treatment. 19 cases recovered and 3 died. Experience: Taobao brain since the 60s has applied atropine, anisodamine, scopolamine treatment, mortality decreased significantly, because these drugs can antagonize microvascular spasm, inhibit platelet thromboxane synthesis, but also will be stranded in the tissue Acidic products such as lactic acid and other large