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钩端螺旋体病肺弥散出血型(下称肺出血型)病势迅猛,病情变化突然,病死率高。我院自1979～1982年共收治肺出血型116例,由于治疗方法的改进,基本避免了赫氏反应的发生,提高了疗效。现总结报告如下。治序方法 2、氢化考的松200～400mg加10％G.S200ml快速滴入,1次/日。危急情况下用地塞米松10mg加50％G.S60ml静推。重危患者第一天重复上述剂量一次。 3、青霉素240～1000万u。1次/日静滴,部分重危患者第一天用青霉素1000万u分二次 1、复方冬眠灵(每支含冬眠灵、非那根各50mg)肌注。每四小时追加首次剂量的1/2,维持12小时左右,一般给予2～3次;必要时加用鲁米那,仅少数病人加用杜冷丁。
Leptospirosis pulmonary diffuse hemorrhagic disease (hereinafter referred to as pulmonary hemorrhage) rapid disease, sudden changes in the condition, high mortality. Our hospital from 1979 to 1982 were treated a total of 116 cases of pulmonary hemorrhage, due to the improvement of treatment methods, the basic to avoid the occurrence of Heath’s reaction and improve the efficacy. The report is summarized as follows. Method 2, hydrocortisone 200 ~ 400mg plus 10% G.S200ml rapid drip, 1 / day. Critical situation with dexamethasone 10mg plus 50% G.S60ml static push. The first day of critically ill patients to repeat the above dose. 3, penicillin 240 ~ 10 million u. 1 times / day intravenous infusion, the first day of some critically ill patients with penicillin 10 million u sub-second 1, compound winter sleep Ling (each containing winter spirit, finagan 50mg) intramuscular injection. Every four hours to append the first dose of 1/2, to maintain about 12 hours, usually given 2 to 3 times; if necessary, add luminal, only a small number of patients with pethidine.