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自1982年12月～1984年1月,笔者在应用洋地黄药物的同时,用硫酸镁治疗小儿喘憋型肺炎合并心袁32例,均取得良好效果。现简介如下: 一、观察对象为2个月至2岁喘憋型肺炎并发心力衰竭患儿,入院后用毒毛旋花子甙K治疗两天,仍未见好转者。二、治疗方法除毒毛旋花子甙K(0.007～0.01/公斤/次)静注外,加用25％硫酸镁0.1～0.3g/公斤/日。用5％葡萄糖稀释成0.5％浓度,每日静滴一次,每分20滴,根据病情连续用2～4天。三、疗效观察 32例均在用药一天后即见呼吸平稳,心率减慢,喘憋减轻,安静入睡。27例在用药2～6天后肝脏基本回缩。其中5例极度烦躁,喘憋严重患儿,在第一次用药30分钟后即见安静入睡。无一例发生不良反应。典型病例例1 林×,男,6个月,病历号:2560。因喘憋型肺炎入院。入院第6天合并心衰,给予毒毛旋
From December 1982 to January 1984, the author in the application of digitalis drugs at the same time, magnesium sulfate treatment of asthmatic pneumonia in children with heart and 32 cases of heart, have achieved good results. Are briefings are as follows: First, the observation of 2 months to 2 years of asthmatic pneumonia complicated with heart failure in children, hospitalized with poisonous furoside K treatment for two days, have not seen a turn for the better. Second, the treatment method In addition to toxic furotraglioside K (0.007 ~ 0.01 / kg / intravenous injection, plus 25% magnesium sulfate 0.1 ~ 0.3g / kg / day. 5% glucose diluted to 0.5% concentration, intravenous infusion, 20 drops per minute, according to the condition of continuous use of 2 to 4 days. Third, the efficacy of observation 32 cases were seen after a day of medication, breathing stable, slow heart rate, wheezing reduced, quiet sleep. 27 cases in the medication 2 to 6 days after the basic contraction of the liver. Five of them were extremely irritable and had severe wheezing, and saw a quiet sleep after 30 minutes of the first dose. No case of adverse reactions. Typical cases Case 1 ×, male, 6 months, medical record number: 2560. Because of wheezing pneumonia admission. Admitted to the first 6 days of heart failure, giving poisonous hair spin