摘要
目的 探讨老年重症感染性休克的治疗方法。方法 总结3例老年重症感染性休克的治疗过程。结果 3例患者中,男性2例,女性1例,年龄72～86岁,均合并有>3种基础疾病,2例为手术后合并感染性休克,1例为急性心肌梗死后合并感染性和心原性休克,在常规抗休克治疗无效的情况下,加用山莨菪碱(654-2)20mg静脉注射,5～10min1次,休克均得到纠正,应用山莨菪碱总量为780～1700mg。结论 老年重症感染性休克晚期患者在常规抗休克治疗无效时,短时间内大剂量应用山莨菪碱治疗可以收到良好的效果。本疗法可应用于SARS老年重症感染性休克患者。
Objective To explore the treatment methods of severe septic shock in the elderly. Methods The therapy of three aged cases of severe septic shock was reviewed. Results Three cases, two males and one female aged 72-86,had more than 3 underlying diseases. Severe septic shock occurred after operation in 2 cases and acute myocardial infarction in 1 case. All cases did not respond to the routine anti-shock treatment, but the shock was corrected after receiving anisodamine(654-2) 20mg iv every 5-10min. The total dosage of anisodamme was from 780mg to 1 700mg. Conclusions It may be a good choice to give big dosage of anisodamine therapy to the aged patients with severe septic shock when the routine anti-shock therapy was inefficacious. This method can be applicated for late eldery SARS patients with severe septic shock.
出处
《中华老年多器官疾病杂志》
2003年第2期102-104,共3页
Chinese Journal of Multiple Organ Diseases in the Elderly
