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我科于1990～1991年对肺结核咯血病人采用普鲁卡囚静脉滴注治疗22例。疗效较好。现汇总如下。 1 临床资料 1.1 一般资料:男16例,女6例,年龄17～60岁。咯血量每天50～300ml,咯血时间3～5天。病例中,Ⅲ型14例,Ⅳ型8例;初治16例,复治6例;治疗用对羧基苄胺10例,止血敏8例,脑垂体后叶素4例。治疗2～3天仍咯血疗效差者改用普鲁卡因治疗,停用其它止血药。 1.2 治疗方法:盐酸普鲁卡因0.3～0.5g加入5%GS300～500ml中静脉滴注。15～20d/分,1天2次,奏效后改为每日1次连用3～5天,未见效者停用。同时常规抗痨治疗,对有感染者兼抗菌素治疗。
In our department from 1990 to 1991, 22 cases of pulmonary tuberculosis patients with hemoptysis were treated with intravenous infusion of procaine. Good effect. Now summarized below. 1 Clinical data 1.1 General Information: 16 males and 6 females, aged 17 to 60 years. The amount of hemoptysis every day 50 ~ 300ml, hemoptysis time 3 to 5 days. Among the cases, 14 cases were type Ⅲ and 8 cases were type Ⅳ. The initial treatment was in 16 cases and the treatment of recuperation was in 6 cases. 10 cases were treated with carboxybenzylamine, 8 cases were hemostatic sensitive, 4 cases were pituitrin. Treating 2 to 3 days is still hemoptysis poor effect to procaine treatment, disable the other hemostatic. 1.2 treatment: procaine hydrochloride 0.3 ~ 0.5g added 5% GS300 ~ 500ml intravenous infusion. 15 ~ 20d / min, 1 day 2 times, after the effect changed to once daily for 3 to 5 days, no effect disabled. At the same time conventional anti-tuberculosis treatment, infected and anti-bacterial treatment.