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18例肺炎合并心衰的患儿,使用血管扩张剂消心痛治疗取得满意效果.传统方法治疗无效者用消心痛亦取得优异疗效。全部病儿在使用血管扩张剂后约2h 心率平均碱少20次/分,8h 后减少30次/分;烦躁不安,紫绀等亦相应减轻;肝脏复原一般需时较长。甲皱微循环观察结果证实:肺炎心衰病儿有单位范围内微血管袢数目减少,动脉枝缩短、变小等表现,并有红细胞聚集、血流减慢、小静脉迂曲淤血现象,为使用血管扩张剂治疗肺炎心衰提供科学依据.
18 cases of children with pneumonia complicated with heart failure, the use of vasodilators Xiao Xiao pain treatment to obtain satisfactory results.Traditional methods of treatment of ineffective use of Xiao Xiao also achieved excellent curative effect. All patients with vasodilator about 2h after the use of vasodilator average heart less 20 beats / min, 8h after the reduction of 30 beats / min; restlessness, cyanosis, etc. also reduce; liver recovery generally takes longer. Nailfold microcirculation observations confirmed: pneumonia, heart failure in children with units within the scope of the reduction in the number of microvessel, arterial shortening, smaller and other manifestations, and erythrocyte aggregation, slow blood flow, tortuous venules tortuous phenomenon, the use of blood vessels Expansion agent for treatment of pneumonia with heart failure provide a scientific basis.