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中毒性痢疾(简称毒痢)是夏秋季常见的急性重症肠道传染病。2~7岁儿童多见,成人亦可发生。本病起病急,病情变化快,若抢救不及对,则可危及病人生命。本病发病的病理基础是急性微循环障碍,临床分脑水肿型、休克型、肺型及混合型等四型。在抢救处理上,除针对病原菌选用两种抗生素(氨苄青霉素、庆大霉素)外,应及早用激素及对合并DIC者可用肝素和6—氨基已酸,还应根据临床类型的不同特点,予以处理。一、脑水肿型突然高热、精神萎靡、嗜睡、面色苍白、惊厥、昏迷、肌张力增强、呼吸节律不整和血压升高等。其治疗方法是: 1.解除微血管痉挛:目前常用山莨菪碱(654—2)治疗。该药可解除微血管痉挛,改善微循
Toxic dysentery (referred to as poison dysentery) is a common summer acute and severe intestinal infectious diseases. 2 to 7 years old children more common, adults can also occur. The onset of acute disease, rapid changes in condition, if not on the rescue, you can endanger the lives of patients. Pathology of the disease is based on the pathogenesis of acute microcirculation, clinical sub-edema, shock, lung and mixed type four. In the rescue treatment, in addition to the pathogen selection of two antibiotics (ampicillin, gentamicin), the hormone should be used as soon as possible and combined with DIC available heparin and 6-amino acid, but also according to different types of clinical features, Be dealt with. First, a sudden type of cerebral edema fever, apathetic, drowsiness, pale, convulsions, coma, increased muscle tone, irregular respiratory rhythm and blood pressure and so on. The treatment is: 1. Relieve microvascular spasm: commonly used anisodamine (654-2) treatment. The drug can relieve microvascular spasm, improve microcirculation