小儿肺炎合并心衰急诊治疗临床思路构建探索

摘要

目的：探讨小儿肺炎合并心衰急诊治疗的临床思路。方法：收治小儿肺炎合并心衰患儿80例，随机均分为两组，对照组采用常规治疗，观察组在此基础上采用多巴胺联合酚妥拉明治疗，对两组患者的治疗效果进行观察。结果：观察组的治疗总有效率97.5%，明显高于对照组的77.5%，两组差异具有统计学意义(P＜0.05)；治疗后，观察组的心率、呼吸频率、血氧饱和度较对照组明显改善，差异具有统计学意义(P＜0.05)。结论：采用多巴胺联合酚妥拉明治疗小儿肺炎合并心力衰竭能够明显改善患者的临床症状，降低心率和呼吸频率，提高治疗效果。%Objective:To explore the clinical thinking of emergency treatment for children with pneumonia complicated with heart failure.Methods:80 children with pneumonia complicated with heart failure were selected.They were randomly divided into two groups on average.The control group was treated with routine treatment,while the observation group was treated with dopamine combined with phentolamine on the basis of the control group.We observed the therapeutic effect of the two groups.Results:The total effective rate of the observation group was 97.5% which was higher than that of the control group of 77.5% ,and the differences between groups were statistically significant(P<0.05).After treatment,the heart rate,respiratory rate and blood oxygen saturation of the observation group were significantly improved compared with the control group,and the difference was statistically significant(P<0.05).Conclusion:The dopamine combined with phenol properly phentolamine in the treatment of children with pneumonia complicated with heart failure can significantly improve the patients clinical symptoms,reduce heart rate and respiratory rate,improve the therapeutic effect.