高原地区中毒型菌痢抢救休克、脑水肿51例体会

中毒型菌痢临床表现复杂 ,病情变化快 ,在整个抢救过程中应抓住主要环节 ,尽量诊断分型治疗。休克型以扩充血容量 ,纠正酸中毒基础上加用血管活性药物。脑水肿型以高渗脱水剂为主。混合型在使用扩血管药的基础上 ,采取补液、脱水的原则。

Feeling after treating 51 cases of intoxication type of bacillary dysentary in high altitude region

The clinical expression of intoxication type of bacillary dysentary is complicated and the condition of disease changes fast.During the whole saving process we must hold the main steps and diagnose as accurate as we could to cure according to the type.The treatment of shock type is based on the rectification of acid intoxication and use vascular active medicine to enlarge the blood capacity.The treatment of brain edema type is using hyperosmotic dehydration as core.The treatment of mixed type is based on using of vascular enlaring medicine and take implementation of liquid,dehydration as principle.