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毛细支气管炎合并心力衰竭(简称心衰)是婴幼儿常见的危重症,在洋地黄、利尿剂以及镇静和吸氧处理后,部分病例心衰尚不能完全纠正。我院儿科联合应用酚妥拉明、东莨菪碱治疗,取得了较好疗效,现报告如下:1.临床资料1.1 一般资料 男21例,女13例,年龄28天7例,1岁19例,3岁8例。诊断依据卫生部小儿肺炎防治方案,其中合并先天性心脏病6例,营养不良4例,脑缺氧损伤3例。1·2 治疗方法 在洋地黄、利尿剂、镇静剂和吸氧等基础治疗后,心衰仍未明显改善时,联合将酚妥拉明0.3—0.5mg/kg,东莨菪碱 0.03mg/kg,加入5—10％
Bronchiolitis with heart failure (HF) is a common critical illness in infants and young children. After digitalis, diuretics, and sedation and oxygen inhalation treatment, some cases of heart failure can not be completely corrected. Our hospital pediatric joint application of phentolamine, scopolamine treatment, and achieved good results, are as follows: 1. Clinical data 1.1 General Information 21 males and 13 females, aged 28 days in 7 cases, 1 year old in 19 cases, 3 8 years old. Diagnosis based on the Ministry of Health prevention and treatment of pediatric pneumonia, including 6 cases of congenital heart disease, malnutrition in 4 cases, 3 cases of cerebral hypoxia injury. 1.2 The treatment of digitalis, diuretics, sedatives and oxygen and other basic treatment, the heart failure has not yet significantly improved, the combination of phentolamine 0.3-0.5mg / kg, scopolamine 0.03mg / kg added 5 -10%