论文部分内容阅读
1979～1982年,我们抢救急性胃肠炎致极重型失水性休克32例,其中男17例,女15例,年龄18～96岁,20～50岁者23例.诊断标准:①有饮食不当史.②具有典型的急性胃肠道炎的症状与体征.大便呈稀水状,镜检有少许白细胞或红细胞.③呈Ⅲ度失水、酸中毒,脉搏及血压消失,或伴有呼吸衰竭(昏迷和呼吸衰竭各9例,11例 Co_2Cp 为10～30容积%).④排除其它胃肠道疾病.抢救方法:32例在采用综合疗法的基础上(如吸氧,注射洛贝林、可拉明、抗生素等),立即用5%碳酸氢钠液300～500毫升,继之用5%葡萄糖
From 1979 to 1982, we rescued 32 cases of very severe dehydration-induced shock in patients with acute gastroenteritis, including 17 males and 15 females, aged from 18 to 96 years and 23 cases aged from 20 to 50. Diagnostic criteria: Improper history .② have typical symptoms and signs of acute gastrointestinal inflammation stool was watery, microscopic examination of a few white blood cells or red blood cells.③ showed Ⅲ degree of dehydration, acidosis, pulse and blood pressure disappear, or accompanied by breathing Failure (coma and respiratory failure in 9 cases, 11 cases of Co_2Cp 10 ~ 30 vol%) ④ exclude other gastrointestinal diseases Rescue Methods: 32 cases based on the use of combination therapy (such as oxygen, injection of Lobeline , Antibiotics, etc.), immediately with 5% sodium bicarbonate solution 300 ~ 500 ml, followed by 5% glucose