强心药早期干预婴幼儿肺炎并发心功能不全表现的疗效研究

Research on effect of cardiotonic on infants with pneumonia complicated cardiac insufficiency

目的研究强心药早期干预婴幼儿肺炎并发心功能不全表现的疗效。方法32例心功能不全代偿期给强心药为观察组,24例心功能不全失代偿期给强心药为对照组,观察其血气分析结果及强心药使用次数、心功能不全纠正时间。结果心功能不全失代偿期患儿血液pH值、PaO2及SaO2均低于心功能不全代偿期患儿,强心药使用次数多,心功能不全纠正慢。结论重症肺炎在心功能不全代偿期,予以强心药干预,发挥其正性肌力作用,其效果优于发生明显心功能不全失代偿期患儿。

Objective To research the effect of cardiotonic on infants with pneumonia complicated cardiac insufficiency. Methods 56 infants with pneumonia complicated cardiac insufficiency were selected, among which, we randomly selected 32 cases as early intervene group and gave cardiotonic at beginning;another 24 cases in decompensation stage were selected as control groups. Blood gas analysis, frequency of using cardiotonic and time of redressing eardiac insufficiency were compared between two groups. Results PH, PaO2 and SaO2 of control groups are severe than that of early intervene groups. Conclusions Infants with severe pneumonia complicated cardiac insufficiency should be given Cardiac stimulant early.