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目的：探讨氯沙坦与卡托普利治疗肺心病心力衰竭的疗效。方法随机选取我院肺心病心力衰竭患者60例，男32例，女28例，年龄40～72岁，心衰持续时间0.5～6年，随机分组法分为氯沙坦组、卡托普利组，每组各30例，分别用氯沙坦与卡托普利治疗2周，观察心功能改善及药物不良反应。结果治疗总有效率氯沙坦组28例(93.3%)，卡托普利组26例(86.7%)，出现药物不良反应氯沙坦组2例，卡托普利组5例。结论卡托普利与氯沙坦对肺心病心力衰竭治疗均有效，但氯沙坦药物不良反应发生率低，使用方便。“,”objective to study the chlorine sand and the curative effect of captopril treatment of cor pulmonale heart failure. Methods randomly selected from 60 patients with cor pulmonale heart failure, male 32 cases, 28 cases women, aged 40 to 72 years old, heart failure duration 0.5 to 6 years, random grouping method is divided into chlorine temple group, captopril group, 30 cases in each group, respectively with chlorine sand and captopril treatment 2 weeks, observe the cardiac function improvement and adverse drug reactions. Results treatment group total effective rate of chlorine sand jotham 28 cases (93.3%), captopril group of 26 cases (86.7%), chlorine sand mitotane group appeared adverse drug reactions in 2 cases, 5 cases captopril group. Conclusion captopril and chlorine sand for cor pulmonale heart failure therapy are effective, but chlorine sand jotham low incidence of adverse drug reactions, easy to use.