 Wysłany: Sob 4:48, 26 Mar 2011 Temat postu: Diffuse X -ray diagnosis of pulmonary lesions poin |
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| Diffuse X-ray diagnosis of pulmonary lesions points
Cases. Minimum 28 years old, maximum 88 years, the average age of 61.8 years. All patients were admitted to hospital with acute onset, including 56 cases of grade Ⅲ heart failure (57.28%), Ⅱ severe heart failure in 39 cases (38.8  , I degree of heart failure in 3 cases (3.88%). Respiratory insufficiency, of which 34 cases of grade Ⅲ (33%), Ⅱ grade in 51 cases (53.39%), I grade l3 cases (3.59%). 6o cases of pulmonary encephalopathy, which ¨ patients with severe, moderate in 25 cases, mild in 22 cases; complicated cases of liver dysfunction 5o; with renal dysfunction in 33 patients. 2 2.1 comprehensive treatment regimen. ① against infection. ② keep the airway open. ③ oxygen therapy. ④ to detect and correct the water, electrolyte and acid-base balance. ⑤ to correct heart failure. ⑥ to detect and eliminate cerebral edema. ⑦ to protect the liver. Renal function, prevention of shock, gastrointestinal bleeding complications. 2.2 In the above treatment based on the application 654-2 intravenous infusion, day 1, each lo ~ 20mg added to the o. 9 saline or 5% ~ lo 500ml of glucose, the speed drops per minute l5 ~ 30 is appropriate, medication 3 to 7 days. 3 treatment in 98 patients,asics australia, 95 patients received heart and lung function improved to varying degrees, in which significant progress in 63 cases (62.4%), and progress by 3l cases (32.03%), the total effective response rate was 94 . l7%, 4 patients died, mortality rate was 4. o8%. In the 6o cases of pulmonary encephalopathy, 54 cases were recovered. 50 patients with impaired liver function, 44 were normal or almost normal. 33 cases. Impaired renal function returned to normal in 28 cases. Most prominent in the treatment of shock and not found a case of gastrointestinal hemorrhage. 4 Discussion on the basis of the combined treatment, plus the incidence of acute pulmonary heart disease 654-2. To obtain a more satisfactory results, so that remission rate from 85.3 years in our hospital l990. Increased to 94.17, so mortality from Fort orchid basket Ken!!! Plastic l3.9 dropped to 4.08; and no shock, gastrointestinal bleeding complications. Achieved good results in the original circle is: the first comprehensive treatment program may be a more reliable effect on; second time with the application of microcirculation on 654-2. Pulmonary heart disease is damage to a number of important organ disease, often occurs as the first obstacle Zhang microcirculation of vital organs. Then there failure leading to death. Important to improve device 654-2 pyridine and systemic microcirculation; have lower blood viscosity, prevent disseminated intravascular coagulation of the blood; there is expansion of pulmonary blood vessels, reducing pulmonary arterial pressure, and thus reduce the load of the right ventricle; have enhanced myocardial contractility effect; a relief of bronchial smooth muscle spasm, inhibit respiratory gland secretion, reducing airway obstruction, reducing airway resistance effect; have excited the respiratory center, the cerebral cortex sedation, improvement of respiratory function; protect the cells, increase cell ischemia, lack of oxygen tolerance, and promote the role of red blood cells release oxygen; a stable lysosomes, mitochondria role. Therefore ,654-2 in the treatment of pulmonary heart disease has been fairly satisfactory results. Side effects on 654-2, a small number of patients may experience dry mouth, blurred vision, urinary difficulties. Most of the above symptoms go away after treatment, only a few appear urinary retention, possible temporary catheterization or catheterization, retreat to the catheter to be side-effects disappeared. |
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