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在重症肺炎病儿并发心力衰竭时,由于心脏前后负荷加重,心力衰竭不易控制。我们加用了血管扩张剂酚妥拉明,取得良好效果。现报告如下: 1983年1月～1986年1月,我们用酚妥拉明治疗婴幼儿重症肺炎并心力衰竭121例。年龄为1个月～2岁。其中男76例,女45例。均有突然加重的呼吸急促严重缺氧,双肺有密集湿罗音,心率明显增快(高于同龄标准心率值20次/分以上),肝脏右肋下短期内增大约1～3cm左右。心力衰竭诊断确定无疑(按1985年4月全国小儿心力衰竭专题座谈会修订的诊断标准)。
Severe pneumonia in children with heart failure, due to increased heart load before and after, heart failure is not easy to control. We added a vasodilator phentolamine, and achieved good results. Now report as follows: January 1983 ~ January 1986, we use phentolamine treatment of infantile severe pneumonia and heart failure in 121 cases. Aged from 1 month to 2 years old. There were 76 males and 45 females. Suddenly aggravating severe shortness of breath hypoxia, lungs have dense wet rales, heart rate was significantly higher (higher than the standard heart rate of the same age 20 times / min), the right rib in the short term increase of about 1 ~ 3cm. Diagnosis of heart failure to determine the doubt (in April 1985 National Heart Failure Symposium revised diagnostic criteria).