摘要
对慢性阻塞性肺病(COPD)与肺心病12例患者及无肺胸疾患的5名志愿者进行氨茶碱负荷剂量(6mg/kg)快速静滴,以放射性核素^(113)In观察其用药前后的LVEF,LVER及FEV_(1.0)、FVC、动脉血气分析。同时测血清氨茶碱浓度。GOPD,肺心病12例,临床上无冠心病诊断依据,但10/12例(85％)显示LVEF异常,且下降程度与病情一致,提示该类患者左心受累。结果表明:(1)静滴氨茶碱后可以改善该类患者的左心功能及通气功能。(2)静滴氨茶碱负荷剂量可以使血清茶碱浓度达治疗中水平。认为氨茶碱可以成为该类患者缓解期治疗的方法。
12 cases of COPD with cor pulmonale and 5 health volunteers were observed while load dose of aminophylline (6mg/kg) was infused intraveneously.LVEF,LVER were measured by 113In-nuclide before and after administration,and FEV1.0,FVC,and arterial blood gas were determined.Serum concentration of theophylline was measured simultaneously.The results showed:(I) In COPD and cor pulmonale patients 10/12 (85%) showed abnormal LVEF,LVER without evidence of coronary heart disease.The results suggested that left ventricular performance were impaired.(2)After load dose of ami-nophylline infusion the left ventricular performance and pulmonary ventilation were improved synchronously.It suggested that aminophylline may be a drug of choice in the stable state of these patients.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1989年第1期28-29,共2页
Medical Journal of Chinese People's Liberation Army
关键词
阻塞性
肺病
肺心病
氨茶碱
Aminophylline Chronic obstructive pulmonary disease Cor pulmonale
