逆向静脉输液的实践及效果_医学论文.docVIP

逆向静脉输液的实践及效果_医学论文 逆向静脉输液的实践及效果_医学论文 【摘要】流行性出血热（EHF）的发病机理是由于毛细血管通透性增加、血管内静水压增加、血浆渗透压的变化、已知肺组织低灌流、缺氧、水肿、出血、感染等有害因素均可影响肺表面活性物质的合成与代谢，肺泡Ⅱ型细胞合成肺表面活性物质减少是ARDS的重要发病机理。部分EHF患者具备上述各种因素而使肺表面活性物质减少，可能发生ARDS。治疗方面应以预防ARDS的发生，迅速纠正缺氧，控制液体入量，保持体液负平衡，改善微循环，减轻肺水肿，应用糖皮质激素，困ARDS患者的气道系统阻力增加，可用氨茶碱0.25mg加入葡萄糖液20ml中静脉注射，可扩张支气管，减轻气道阻力，抗感染，血浆透析疗法；及时发现与治疗各种并发症。 【关键词】流行性出血热；呼吸窘迫综合征；发病机理；治疗The epidemic will bleed the hot adult to breathe which the poverty-stricken synthesis to draft the pathogenesis and the treatment 【Abstract】The epidemic bleeds (EHF) hotly the pathogenesis is because in the blood capillary insight increase, the blood vessel the static hydraulic pressure will increase, the blood plasma osmotic pressure change, the known lung organization lowly fills the class, the oxygen deficit, the dropsy, the hemorrhage, the infection and so on the harmful factor may affect the lung surface-active substance the synthesis and the metabolism, the pulmonary alveolus II cell synthesis lung surface-active substance reduction will be the ARDS important pathogenesis. The partial EHF patient has the above each kind of factor to cause the lung surface-active substance to reduce, possibly has ARDS. The treatment aspect should prevent ARDS the occurrence, rapidly corrects the oxygen deficit, the control liquid inputs, the maintenance body fluid negative balance, improves the micro circulation, reduces the pulmonary edema, the application sugar cortical hormone, the sleepy ARDS patient’s gas channel system resistance increases, may use aminophylline 0.25mg to join the glucose fluid 20ml vein injection, may expand the bronchial tube, reduces the gas channel resistance, anti-infection, blood plasma dialysis therapy Promptly discovered and treats each kind of illness complication. 【Key words】Epidemic hemorrhage heat Breathes the poverty-stricken synthesis to draft Pathogenesis Treatment流行性出血热（EHF）的发病机理及发病过程中出现的许多病理生理变化都可能使本病容易发生成人呼吸窘迫综合症(ARDS),且临床上常易与急性左心衰竭肺水肿相混淆,及时识别与治疗,可大大降低该病病死率。 1发病机理 1.1毛细血管通透性增加