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使用硫酸镁治疗10例新生儿持续肺动脉高压,饱和量200mg/kg,静脉推注。维持量20—150mg/kg/h静脉滴注,平均治疗时间71.0±12.8小时,未使用其他扩管药和高频通气治疗。动脉血氧分压由治疗前的5.50±1.20kpa升至治疗24小时后的9.25±2.10kpa(P<0.01);氧气指数及肺泡-动脉氧气阶度在治疗24小时后显著降低,分别由44.76±10.74降至27.30±9.31(P<0.01),由628.25±15mmHg降至498.20±48.10mmHg(P<0.05);机械通气平均气道压由治疗前17.52±0.40mH2O降至治疗72小时后的12.72±0.32cmH2O(P<0.01)。9例患儿治愈,治愈率90%。故认为硫酸镁在新生儿持续肺动脉高压治疗中值得提倡。
Ten cases of neonatal pulmonary hypertension were treated with magnesium sulfate, with a saturation of 200 mg / kg and intravenous injection. To maintain the volume of 20-150mg / kg / h intravenous infusion, the average treatment time 71.0 ± 12.8 hours, did not use other expansion tube drugs and high-frequency ventilation treatment. Arterial partial pressure of oxygen rose from 5.50 ± 1.20kpa before treatment to 9.25 ± 2.10kpa after 24 hours of treatment (P <0.01); oxygen index and alveolar-arterial oxygen level in treatment 24 Hour and significantly decreased from 44.76 ± 10.74 to 27.30 ± 9.31 (P <0.01), from 628.25 ± 15 mmHg to 498.20 ± 48.10 mmHg (P <0 .05). Mean airway pressure of mechanical ventilation decreased from 17.52 ± 0.40mH2O before treatment to 12.72 ± 0.32cmH2O after 72h (P <0.01). Nine patients were cured, the cure rate was 90%. Therefore, magnesium sulfate in the treatment of neonatal pulmonary hypertension should be advocated.