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1、小儿重症肺炎的临床诊治体会武汉市黄陂区中医院小儿科湖北武汉430300【】目的:探讨小儿重症肺炎的临床诊治分析。方法:选取我院在2014年6月-2015年7月间收治的113例重症肺炎患儿,其中男孩58例,年龄在5个月-3岁之间,女孩55例,年龄在7个月-2岁之间,113例患儿均按照临床标准诊断为重症肺炎。将113例患儿随机分为两组,观察组60例,对照组53例,对两组患儿均进行抗代谢紊乱、抗感染的常规治疗以增加患儿的免疫能力,其中,观察组患儿在进行上述常规治疗的基础上再对患儿实行酚妥拉明、多巴胺的辅助治疗
2、。对于两组患者的病情改善情况进行跟踪观察,并对所得数据进行记录。结果:经过一系列的治疗,两组患儿的病情均有不同程度的改善,其中观察组60例患儿,治愈22例,显效20例,有效12例,无效6例,有效率为90%,对照组53例患儿,治愈14例,显效16例,有效11例,无效12例,有效率为77.4%,两组患儿的病情改善情况差异显著,观察组的治疗效果要明显优于对照组的治疗效果,对于患儿病情的康复有较大帮助。结论:在治疗小儿重症肺炎时,对患儿进行常规治疗后再加入酚妥拉明、多巴胺进行辅助治疗对于患儿病情的改善有较大的帮
3、助,因此,值得在临床推广应用。【关键词】小儿重症肺炎;多巴胺;酚妥拉明;诊治体会ClinicaldiagnosisandtreatmentofchildrenwithseverepneumoniaPengGang(WuhanCityHuangpiDistrictHospitalofPediatrics,Wuhan430300)[Abstract]Objective:Toinvestigatetheclinicaldiagnosisandtreatmentofchildrenwithseverepneum
4、onia.Methods:inourhospitalbetweenJulyJune2014and2015were113casesofchildrenwithseverepneumonia,whichwere58boys,agebetween5months-3yearsold,55casesofgirls,agebetween7monthsand2yearsold,113patientswereaccordingtostandardclinicaldiagnosisofseverepneumonia.Co
5、nventionaltreatmentof113caseswererandomlydividedintotwogroups,observationgroup(60cases),controlgroup(53cases),patientsinthetwogroupswereantimetabolicdisorders,antiinfectiontoincreasechildren’simmuneability,includingtheobservationgroupsofchildrenonthebasi
6、softheconventionaltherapyandofthechildrentheimplementationofadjuvanttherapywithphentolamineanddopamine.Forthetwogroupsofpatientswereobservedandrecordedonthedata.Results:afteraseriesoftreatment,twogroupsofchildren’sconditionhadimprovedindifferentdegree,th
7、eobservationgroup(60cases,22caseswerecured,20casesweremarkedlyeffective,effectivein12cases,invalidin6cases,theratewas90%,controlgroupof53cases,14caseswerecured,16casesweremarkedlyeffective,11caseswereeffective,12caseswereineffective,theefficiencywas77.4%
8、,twogroupsofchildren’sconditionimprovedwithsignificantdifference,thetreatmenteffectoftheobservationgrouptotherapeuticeffectwassignificantlybetterthanthecontrolgroup,fortherehabilitationofchildrenwiththediseasehavegreathelp