酚妥拉明联合垂体后叶素序贯治疗老年人支扩大咯血

Clinical analysis on therapeatic effect of sequential therapy of pumping pituitary-phentolamine on older massive hemoptysis bronchodilation

目的探讨酚妥拉明联合垂体后叶素序贯静脉泵入治疗老年支扩大咯血的疗效和安全性。方法对80例老年支扩大咯血患者随机分为酚妥拉明联合垂体后叶素序贯静脉泵入组(治疗组)和酚妥拉明组(对照组),每组各40例,对比两组疗效和不良反应。结果治疗组总有效率为95.0%,对照组为82.5%,治疗组疗效优于对照组(P<0.05)。结论酚妥拉明联合垂体后叶素序贯治疗老年支气管扩张大咯血疗效好,不良反应少,是治疗老年支扩尤其是合并冠心病和高血压患者大咯血有效、安全的方法。

Objective To study the effect of sequential pumping pituitary-phentolamine on massive hemoptysis bronehodilation. Methods 80 old patients with massive hemoptysis bronchoehodilation were randomly divided into treatment group treated with sequential pumping pituitary-phentolamine and control group treated with phentolamine. The efficiency and adverse effects were observed. Results The efficiency of treatment group was significantly higher than that of the control group （P〈02 05）. Conclusion it is effective to treat massive hemoptysis bronchodilation with sequential pumping pituitary-phentolamine.