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目的通过对慢性阻塞性肺疾病(COPD)合并呼衰、心衰的治疗,探讨如何更好地延长生存期,减轻症状,提高治疗效果。方法对我院2009—2011年在我科收住的COPD合并呼衰、心衰患者64例,分为二组。二组在用多索茶碱、氨溴索、抗炎药等药物治疗的同时,给予吸氧,必要时用呼吸机改善通气功能,一组以利尿+营养支持为主,另一组以扩血管为主。结果症状缓解、体征减轻、病情明显好转,生存期明显延长。结论利尿+营养支持治疗效果明显优于以扩血管治疗为主的治疗方案。
Objective To explore the treatment of chronic obstructive pulmonary disease (COPD) combined with respiratory failure and heart failure to explore how to prolong survival, reduce symptoms and improve the therapeutic effect. Methods COPD patients admitted to our department from 2009 to 2011 in our hospital were divided into two groups: 64 cases of COPD with respiratory failure and heart failure. Two groups in the use of doxofylline, ambroxol, anti-inflammatory drugs and other drugs at the same time, given oxygen, if necessary, to improve ventilatory function with a ventilator, a group of diuresis + nutritional support, the other group to expand Vascular mainly. Results The symptoms were relieved, the symptoms were relieved, the condition was obviously improved, and the survival period was significantly prolonged. Conclusion The effect of diuretic + nutritional support is better than that of vasodilator-based treatment.