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从麻疹患儿死亡原因分析,无论合并严重肺炎或重症喉炎、脑炎,最后常并发心血管机能不全而死亡,后者为其直接死亡原因。如果麻疹单纯并发心血管机能不全,亦往往能使出疹不顺利或易导致其他并发症,延长病程或转向危急。因此,对麻疹合并心血管机能不全,必须予以重视。经验证明,欲取得预期的疗效,贵在积极、及早地预防和治疗。麻疹并发心血管机能不全表现在两方面:充血性心力衰竭和周围循环衰竭。本文根据点滴临床体会及复习文献,对麻疹合并充血性心力衰竭的早期诊断和治疗作一粗浅探讨,以供参考。
From the analysis of the cause of death in children with measles, regardless of severe pneumonia or severe laryngitis, encephalitis, and finally the most common cause of cardiovascular insufficiency and death, which is the direct cause of death. If measles alone complicated with cardiovascular insufficiency, often can make rash does not go well or easily lead to other complications, to extend the course or turn critical. Therefore, measles combined with cardiovascular insufficiency, we must pay attention. Experience shows that in order to achieve the desired therapeutic effect, you are actively and promptly prevented and treated. Measles complicated with cardiovascular insufficiency manifested in two aspects: congestive heart failure and peripheral circulatory failure. This article based on clinical experience and review the literature, the early diagnosis and treatment of measles complicated with congestive heart failure to make a superficial discussion, for reference.