论文部分内容阅读
自1993年9月至1996年6月,我们对24例经青霉素+氨苄青霉素治疗无效的婴幼儿肺炎,换用甲硝唑治疗,效果显著。现总结如下。 1 临床资料 1.1 一般资料:年龄1个月(?)3岁,3个月—1岁16例。男14例,女10例,病程5—11天。 1.7 临床表现:咳嗽24例,喘息20例,发热15例,呕吐3例,腹泻1例。轻度硬肿、皮肤发花各1例,心力衰竭2例,双肺干、湿性罗音24例。WBC计数>10×10~9/L18例,N>0.70 17例。 1.3 方法:10例入院前已给足量青霉素、氨苄青霉素治疗治疗;不足5天者,入院后继续治疗满5天:14例入院后予青霉素20万~(?)/kg.d、氨苄青霉素50mg/kg.次,静注,bid,连用5天、10例病情均无好转或加重,停青霉素,加甲硝唑7.5mg/kg.次,q8h、静滴。合并心衰者给予强心、利尿、吸氧、支持及对症综合性
From September 1993 to June 1996, 24 cases of pneumonia infants and young children who were ineffective with penicillin + ampicillin were treated with metronidazole. The results were significant. Now summarized as follows. 1 Clinical data 1.1 General information: age 1 month (?) 3 years old, 3 months -1 years old in 16 cases. 14 males and 10 females, duration of 5-11 days. 1.7 Clinical manifestations: 24 cases of cough, wheezing in 20 cases, fever in 15 cases, vomiting in 3 cases, 1 case of diarrhea. 1 case of mild edema, 1 case of skin degeneration, 2 cases of heart failure, 24 cases of dry lung and wet rales. WBC count> 10 × 10 ~ 9 / L18 cases, N> 0.7017 cases. 1.3 Methods: 10 cases before admission to sufficient penicillin, ampicillin treatment; less than 5 days, continue treatment for 5 days after admission: 14 cases admitted to penicillin 200000 ~ (?) / Kg.d, ampicillin 50mg / kg. Times, intravenous, bid, once every 5 days, 10 cases did not improve or aggravate the condition, stop penicillin, plus metronidazole 7.5mg / kg times, q8h, intravenous drip. Combined with heart failure given cardiac, diuretic, oxygen, support and symptomatic comprehensive