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自1989年1月～1990年2月,我们对抗生素治疗效果不佳的肺心病患者21例,采用灭滴灵治疗,收到满意的效果,报道如下。 材料与方法 一、病例选择 本组21例均为肺心病急性发作期患者(按全国第三届肺心病会议制定的标准诊断及按慢性肺心病病情分级和疗效判断标准分期)。男19例,女2例。年龄43～76岁,平均为60.5岁。入院时体温正常者17例,低热者4例。白细胞总数>10×10~9/L者17例,中性粒细胞>75％者20例。咳白色粘液痰15,咳脓性痰6例,每天咳痰量在50ml以下者12例,每天咳痰量在50～100ml者9例。两肺有湿性啰音者16例,两肺湿性啰音伴有干性啰音者5例。X线胸片:全部呈现肺透亮度增加,两下肺纹理增多增粗,其中6例有局限性的炎症改变。
From January 1989 to February 1990, 21 patients with cor pulmonale who did not respond well to antibiotics were treated with metronidazole and received satisfactory results, which are reported below. Materials and methods First, the case selection 21 patients in this group were acute episodes of pulmonary heart disease patients (according to the national third pulmonary heart disease conference to develop a standard diagnosis and according to chronic pulmonary heart disease grading and efficacy criteria for staging). 19 males and 2 females. Age 43 to 76 years old, with an average of 60.5 years old. 17 cases of normal body temperature at admission, 4 cases of hypothermia. There were 17 cases with white blood cells> 10 × 10 ~ 9 / L and 20 cases with> 75% neutrophils. Cough white mucus sputum 15, cough purulent sputum 6 cases, sputum volume 50ml or less per day in 12 cases, the amount of sputum per day in 50 ~ 100ml in 9 cases. There were 16 wet rales in both lungs and 5 dry rales in both lungs. X-ray: all showed an increase in lung transparency, increased thickening of the two lungs, of which 6 cases of localized inflammatory changes.