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自1986～1991年收治急性重症婴儿病毒性心肌炎致泵衰竭20例,治愈14例,死亡6例。治疗成功要及早诊断,分秒必争进行抢救:1.首选多巴胺和硝普钠用同一静脉泵输入,增加心肌收缩力减轻心脏前后负荷,并用地戈辛控制心衰。2.对2例合并肺水肿和1例合并RDS者,及时应用CPAP鼻塞给氧救治成功。3.无体液丢失时,不扩容补液。4.纠正代谢性酸中毒应掌握“宁酸勿碱”的原则。5.对佝偻病患儿,尤其伴有抽搐者应及时补充钙剂,以防病情恶化,介绍了钙与洋地黄同时应用时的注意事项。
From 1986 to 1991 admitted to acute severe infantile viral myocarditis caused by pump failure in 20 cases, 14 cases were cured, 6 died. Successful treatment should be diagnosed as soon as possible, every second to be rescued: 1. Preferred dopamine and sodium nitroprusside with the same intravenous pump input, increase myocardial contractility to reduce heart before and after the load, and earthoxin control heart failure. 2 cases of 2 cases of pulmonary edema and 1 case of patients with RDS, timely application of CPAP nasal block oxygen treatment success. 3. Without body fluid loss, do not expand rehydration. 4. To correct metabolic acidosis should master “Ning acid not base” principle. 5. For children with rickets, especially those with tics should be promptly added calcium, to prevent deterioration of the condition, describes the calcium and digitalis at the same time the application of precautions.