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为了认真做好暴发型流行性脑脊髓膜炎(以下简称暴脑)的抢救工作,提高疗效,现将抢救工作中常见的几种错误及其防治介绍如下,以供参考。一、磺胺嘧啶引起的怠性肾功能衰竭【例1】×××,男,16岁,诊断为暴脑(休克型)。入院后按休克型常规抢救,于14小时后休克症状缓解,第二天神志清楚,循环呼吸功能良好。病因治疗选用磺胺嘧啶、氯霉素。后者每天静脉点滴1.5克,磺胺嘧啶6克,休克缓解后每天静脉补充10%葡萄糖溶液1,000毫升,口服等量碳酸氢钠。第三天开始头痛呕吐加重,体温39℃,尿少。误认为
In order to conscientiously do a good job in the salvage epidemic meningitis (hereinafter referred to as the brain violence) of the rescue work to improve the efficacy, now the rescue work common mistakes and their prevention introduced below for reference. First, sulfadiazine caused idling renal failure [Example 1] × × ×, male, 16 years old, diagnosed as brain violence (shock type). After admission by shock conventional rescue, shock relief in 14 hours after the symptoms the next day consciousness, circulatory function is good. Etiological treatment of choice sulfadiazine, chloramphenicol. The latter daily intravenous infusion of 1.5 grams, 6 grams of sulfadiazine, shock relief daily intravenous supplement of 1,000 ml 10% glucose solution, oral sodium bicarbonate. The third day began to aggravate headache vomiting, body temperature 39 ℃, oliguria. Mistaken