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我院于1987年9月至1988年元月用多巴胺治疗流行性出血热(EHF)发热期患者38例,取得良好的越期效果。观察EHF76例,发热3~10天入院,年龄20~66岁,男64例,女12例,按全国EHF 早期定度标准,轻度18例,中度44例,重度14例,全部病例随机分为两组,配对观察。方法:治疗组除给予发热期的综合治疗外,每日给多巴胺120~180mg,分次与其它液体变替静脉点滴,一般每500ml 液体中加60mg,每分钟50~70滴,当尿量24小时增至3500~4000ml 并持续两天后,逐渐减少药量,并观察减药后的尿量,尿量如无明显减少,则可继续减药。对照组除不用多巴胺外,其余均同治疗组。
In our hospital from September 1987 to January 1988 with dopamine treatment of epidemic hemorrhagic fever (EHF) fever in 38 patients, and achieved good overdose effect. EHF76 cases were observed, fever 3 to 10 days admitted to hospital, aged 20 to 66 years old, 64 males and 12 females, according to the national EHF early standardization, mild in 18 cases, moderate in 44 cases, severe in 14 cases, all cases were randomized Divided into two groups, matching observation. Methods: In addition to the treatment group given comprehensive treatment of fever, the daily dose of dopamine 120 ~ 180mg, sub-divided by other liquid to change the intravenous drip, usually every 500ml liquid plus 60mg, 50 to 70 drops per minute, when the urine output 24 Hours to 3500 ~ 4000ml and continued two days later, gradually reduce the dose, and observed after the reduction of urine output, urine output, if no significant reduction, you can continue to reduce the drug. In addition to the control group without dopamine, the rest are the same treatment group.