| 摘要: |
| ［摘要］ 目的 观察硝酸甘油联合多巴酚丁胺治疗顽固性心力衰竭的疗效。方法 对90例Ⅲ～Ⅳ级顽固性心力衰竭患者,在采用常规综合治疗2～3 d无效的基础上，给予微量注射泵持续静脉泵注治疗量的硝酸甘油和多巴酚丁胺，疗程5～7d，观察患者临床症状、体征、心功能改善情况。结果 用药后，患者临床症状、体征、心功能明显改善，总有效率为95.5%。其中显效73例（81.1%），有效13例(14.4%),无效4例（4.5%），疗效确切，不良反应无增加。结论 持续静脉泵入治疗量的硝酸甘油、多巴酚丁胺治疗顽固性心力衰竭有较好的临床效果。 |
| 关键词: 顽固性心力衰竭 硝酸甘油 多巴酚丁胺 持续静脉泵入 |
| DOI：10.3969/j.issn.1674-3806.2010.05.17 |
| 分类号:R 541.6 |
| 基金项目: |
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| Clinical observaion on the effect of refractory heart failure treated with nitroglycerin and dobutamine by continue venous pump |
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HE Shi-cong,LV Xiao-qiang
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Department of 1st Internal Medicine,Luchuan Hospital of Traditional Chinese Medicine,Guangxi 537700,China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of using nitroglycerin and dobutamine through continue venous pump for refractory heart failure.Methods Ninety patients with 3～4 rank heart function were selected who were treated invalidly for 2～3 days by conventional therapy.Based on above treatment,these patients were treated with nitroglycerin and dobutamine by continue venous pump,for 5 to 7 days.Clinical symptoms,signs and heart function were observed.Results The clinical symptoms,signs and heart function were improved obviously after using nitroglycerin and dobutamine by continue venous pump.The total effective rate reached 95.5%.Of them marked effect were found in 73 patients(81.1%),effective in 13 patients (14.4%),invalid 4 patients (4.5%).There were positive curative effects and not more adverse reactions.Conclusion The way of using nitroglycerin and dobutamine by continue venous pump can play a role in treating refractory heart failure. |
| Key words: Refractory heart failure Nitroglycerin Dobutamine Continue venous pump |
