小儿肺炎合并心衰急诊治疗临床观察

The clinical observation of pediatric pneumonia complicated with heart failure emergency treatment

目的：观察酚妥拉明治疗小儿肺炎合并心力衰竭的疗效。方法：选取我院2011年3月～2012年6月收治肺炎合并心衰患儿8例，随机分为治疗组39例和对照组39例；对照组给予镇静强心氧疗抗感染止咳平喘限制入量等常规治疗，治疗组在对照组的基础上加用酚妥拉明0．3～0．5mg／kg进行治疗，加入10％葡萄糖注射液，静脉滴注。结果：治疗组患者显效26例（66．67％），有效10例（25．64％），总有效率达到92．31％，对照组患者显效16例（41．03％），有效8例（20．51％），总有效率为61．54％，两组比较，治疗组治疗效果明显优于对照组，差异有统计学意义（P〈0．05）。结论：对小儿肺炎合并心衰患者采用在常规治疗的基础上加用酚妥拉明显著提高疗效。

Objective：To observe the effect of phentolamine treatment of pediatric pneumonia complicated with heart failure of the curative effect. Methods：Select from March 2011 to June 2012 were pneumonia complicated withI heart failure with 78 cases was randomly divided into the treatment group and the control group in 39 cases of 39 cases. The control group was matched to calm, strong heart, oxygen therapy and anti--infection, cough relieving asthma, limit intake conventional treatment, the treatment group in the control group plus the basis of phentolamine 0.3-0.5mg/ kg treatment, add 10% glucose injection, intravenous drip. Result：The treatment group patients powerfully 26 cases （66.67%）, effective 10 cases （25.64%）, the total effective rate reach 92.31%, the control group patients （P〈16cases（41.03%）, effective 8 cases （20.51%）, the total effective rate was 61.54%, two groups of comparisons, the effect in treatment group was better than control group, the difference was statistically significant （P〈0.05）. Conclusion： On infantile pneumonia complicated with heart failure patients using based on routine treatment plus with phentolamine significantly enhance the curative effect.