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我们于近两年来用低分子右旋糖酐和氢化可的松联合治疗滴注后低血压20例。现报告如下: 一般资料:本组20例中,男12例,女8例。年龄18～80岁。临床诊断为休克型肺炎11例,胆系感染所致休克4例,金黄色葡萄球菌败血症所致休克5例。入院后按感染性休克进行综合治疗并同时使用阿拉明、多巴胺静滴,经治疗患者临床症状及休克好转,然而停用阿拉明、多巴胺后血压立即下降。因此,又继续应用阿拉明、多巴胺滴注以维持血压,其持续时间最长者为34天,最短者为16天,平均20天。20例在排除导致顽固性休克形成的诸原因后,均
We in the past two years with low molecular weight dextran and hydrocortisone combined treatment of 20 cases of hypotension after instillation. Now report as follows: General information: The group of 20 cases, 12 males and 8 females. Age 18 to 80 years old. Clinical diagnosis of shock pneumonia in 11 cases, 4 cases of shock caused by biliary tract infection, Staphylococcus aureus septicemia caused by shock in 5 cases. After admission, the patients were treated with septic shock and at the same time treated with Alamin and Dopamine. The clinical symptoms and shock of the treated patients were improved. However, the withdrawal of Alamin and the immediate decrease of dopamine blood pressure immediately after treatment. Therefore, continue to use Alamin, dopamine instillation to maintain blood pressure, the longest duration of 34 days, the shortest for 16 days, an average of 20 days. Twenty patients ruled out the causes of intractable shock