摘要
目的总结多巴胺、地高辛、ACEI、呋塞米合用治疗难治性心力衰竭的价值.方法对21例难治性心衰(心功能Ⅲ级9例,Ⅳ级12例)采用多巴胺静滴,地高辛、卡托普利或依那普利口服,呋塞米静注5～7 d,观察心功能、心脏每搏排出量(SV)、射血分数(EF)、心脏指数(CI)、心肌耗氧量变化情况.结果显效12例(57.1%),有效7例(33.3%),无效2例(9.6%);EF,SV,CI治疗后均较治疗前显著提高(P＜0.01);心肌耗氧量治疗后较治疗前明显降低(P＜0.01).结论多巴胺、地高辛、ACEI、呋塞米合用治疗难治性心力衰竭,疗效佳、安全.
Objective To summarize the value of dopamine, digoxin, angiotesin converting enzyme inhibitor （ACEI） and furosemide in the treatment of refractory heart failure. Methods Twenty-one patients with refractory heart failure were treated with dopamine （ intravenous drip） , oral digoxin, captopril or enalapril and intravenous fumsemide for 5 -7 days. Then, the changes in heart function, stroke volume （SV） , ejection fraction （EF）, cardiac index （CI） and myocardial oxygen consumption were observed. Resuits Of the21 patients, 12 （57.1%） achieved obvious effect, seven （33.3%） achieved ordinary effect and two （9.6%） achieved no effect. The parameters after treatment such as EF, SV and CI rose significantly, and myocardial oxygen consumption went down significantly （P 〈 0.01 ）. Conclusion Joint dopamine, digoxin, ACEI and furosemide are effective on refractory heart failure.
出处
《临床军医杂志》
CAS
2005年第6期732-733,共2页
Clinical Journal of Medical Officers
