论文部分内容阅读
在基层工作中,如何正确诊治感染中毒性脑病,笔者体会,在原发病的基础上出现嗜睡、烦躁、呕吐、突然惊厥,继之出现谵妄、昏迷、瞳孔不等大,病理征阳性。治疗时如合并心肺功能障碍时,甘露醇可增加血容量、加重心脏负担。此时如有脑疝甘露醇用量至1g/(kg·次)时,宜先用速尿,待排尿后再用;如无脑疝,可用小剂量甘露醇0.25g/(kg·次)。本组3例重症肺炎合并脑病使用了小剂量甘露醇,6例合用了速尿,5例合用了氟美松,治愈14例,死亡1例。
At the grassroots level, how to correctly diagnose and treat toxic encephalopathy, I understand that on the basis of the primary disease, lethargy, irritability, vomiting, sudden convulsion, followed by delirium, coma, pupil ranging from large, positive pathological sign. When combined with cardiopulmonary dysfunction, mannitol can increase blood volume, increase the burden on the heart. At this point if the amount of hernia mannitol to 1g / (kg · times), should first use furosemide until after urination and then; if no hernia, a small dose of mannitol 0.25g / (kg · times). The group of 3 cases of severe pneumonia with encephalopathy using a small dose of mannitol, 6 cases combined furosemide, 5 cases combined with dexamethasone, cured 14 cases, 1 died.