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我院自1992年2月来收治11例难治性心力衰竭患者,采用酚妥拉明静滴获得满意效果。 1 资料与方法 1.1 对象 11例中男10例,女1例,年龄40～77岁。其中高血压性心脏病7例,慢性肺原性心脏病2例,扩张型心肌病和冠心病各1例。均经卧床休息,低盐饮食,控制感染,消除心衰诱因并给予足量洋地黄,利尿剂、消心痛、心痛定、巯甲丙脯酸等常规心力衰竭控制措施后,心衰未能控制,故属于难治性充血性心力衰竭。11例均有心悸、呼吸困难、乏力、咳嗽、肺部罗音、肝大、尿少、下肢浮肿等症状。按NYHA分级标准,心功能均为Ⅳ级。心衰病史5～24年,X线心脏检查、B型和M型心脏超声波检查心脏重度
Our hospital since February 1992 to treat 11 patients with refractory heart failure, intravenous infusion of phentolamine obtained satisfactory results. 1 Materials and Methods 1.1 Object 11 cases of male 10 cases, 1 female, aged 40 to 77 years. Of which 7 cases of hypertensive heart disease, chronic pulmonary heart disease in 2 cases, dilated cardiomyopathy and coronary heart disease in 1 case. After the bed rest, low-salt diet, infection control, eliminate the cause of heart failure and give adequate digitalis, diuretics, and heart failure, heartache, captopril and other conventional heart failure control measures, heart failure failed to control , It is refractory congestive heart failure. Eleven patients had heart palpitations, dyspnea, weakness, cough, pulmonary rales, hepatomegaly, oliguria, lower limb edema and other symptoms. According to NYHA grading standards, cardiac function is grade IV. Heart failure history of 5 to 24 years, X-ray examination, B and M heart ultrasound examination of severe heart