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目的探讨应用硝普钠治疗婴幼儿支气管肺炎合并心力衰竭患儿的治疗效果。方法在常规治疗的基础上应用微量注射泵持续泵入硝普钠,剂量从0.5μg/(kg.min)开始,每10分钟增加0.5μg/(kg.min),最大剂量不超过8μg/(kg.min)。结果应用硝普钠治疗婴幼儿支气管肺炎合并心力衰竭5~28 h后,心率、呼吸频率下降,射血分数提高至正常。结论使用硝普钠治疗婴幼儿支气管肺炎合并心力衰竭疗效确切,副作用小,值得临床推广。
Objective To investigate the therapeutic effect of sodium nitroprusside on children with bronchopneumonia complicated with heart failure. Methods On the basis of routine therapy, sodium nitroprusside was continuously pumped by using a microinjection pump at a dose of 0.5 μg / (kg · min) for 0.5 μg / (kg · min) every 10 minutes with a maximum dose of no more than 8 μg / ( kg.min). Results Sodium nitroprusside treatment of infantile bronchopneumonia with heart failure 5 to 28 h, heart rate, respiratory rate decreased, ejection fraction increased to normal. Conclusion The use of sodium nitroprusside in the treatment of infantile bronchial pneumonia complicated with heart failure has definite curative effect and small side effects, which is worthy of clinical promotion.