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目的:观察持续静滴小剂量垂体后叶素对大咯血的治疗。方法:34例大咯血在常规治疗基础上给予持续静滴小剂量垂体后叶素,单独开通一条静脉通路,给予垂体后叶素10～20U加入5%葡萄糖溶液500ml中静脉滴注,24小时连续维持,出现咯血时适当加快滴速,无咯血时以13～18滴/分的速度维持;大量咯血停止后观察2天停药:每日垂体后叶素用量25～50U。结果:大咯血停止时间两组比较,差异具有显著性(P<0.05),5天内再次出现大咯血次数两组比较,差异具有显著性(P<0.05),两组有效率比较,差异无显著性(P>0.05)。结论:持续静脉滴注小剂量垂体后叶素对大咯血的治疗确切。
Objective: To observe the continuous intravenous infusion of small doses of vasopressin on the treatment of massive hemoptysis. Methods: Thirty-four cases of massive hemoptysis were given continuous intravenous infusion of low-dose pituitrin on the basis of routine treatment. A single intravenous route was opened. Vasopressin 10-20 U was given intravenously to 500 ml of 5% dextrose solution for 24 hours Maintenance, hemoptysis appropriate to speed up the drip rate, no hemoptysis when the rate of 13 to 18 drops / min; a lot of hemoptysis observed after stopping 2 days withdrawal: daily pituitrin dosage 25 ~ 50U. Results: There was a significant difference between the two groups when the hemoptysis was stopped (P <0.05), and the number of massive hemoptysis appeared again within 5 days (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion: Continuous intravenous infusion of low dose of pituitrin treatment of massive hemoptysis is accurate.