小剂量肝素佐治小儿重症支气管肺炎的疗效观察

目的探讨小剂量肝素佐治小儿重症支气管肺炎的临床效果。方法68例重症支气管肺炎患儿被随机分为治疗组和对照组,两组患儿均给予吸氧、抗感染、强心及对症治疗,治疗组加用小剂量肝素,治疗后判断疗效,并测定血红细胞压积和血黏度。结果与对照组比较,治疗组治疗后的肺部啰音消失时间减少47.70%,气促恢复时间缩短27.95%,患者的总疗程缩短25.90%,治疗组的总有效率高于对照组,红细胞压积增加了57.69%,血黏度降低27.95%,在统计学上均有显著性差异（P〈0.05或P〈0.01）。结论小剂量肝素佐治小儿重症支气管肺炎可显著提高疗效。

Treatment of Serious Bronchopneumonia in Infants with The Aid of Low dose of Heparin

Objective To explore the clinical results of low-dose heparin intervention on serious bron- chopneumonia in infants. Methods 68 cases of serious bronchopneumonia were randomly divided into therapeutic group and control group, two groups of infants were given oxygen, anti-infection, Cardiac treatment and symptomatic treatment, therapeutic group was administered a low close of heparin, after treatment to determine effect and determination of blood hematocrit and blood viscosity. Results Compared with the control group, therapeutic group after treatment of pulmonary rale disappearance time of 47.70% reduction, breathe hard to shorten recovery time 27. 95 percent, Shorten the overall course of treatment 25.90% , the total effective rates of therapeutic group was superior to the control group, red blood cell hematocrit increased 57.69 percent, blood viscosity reduced 27.95 percent, both has significant difference （ P 〈 0.05 or P 〈 0. 01 ）. Conclusion Significantly enhance the treatment of serious bronchopneumonia in infants with the aid of low dose of heparin.