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最近我们试用β受体阻滞剂普萘洛尔(Propra—nolol,P)治疗2例心率不能控制的心力衰竭患者,取得较好效果。 例1 女,57岁,住院号76614。临床诊断:扩张型心脏病并心衰。患者因反复心慌、气促伴水肿半年入院。入院时体检:BP130/90mmHg,颈静脉怒张,肝颈静脉回流征(+),HR120次/分,心律不齐,心尖区有S_3,双下肢浮肿。ECG示窦性心动过速伴Ⅰ度Ⅱ型A—VB,心肌受损;UCG示心脏普大,室壁收缩期增厚率<30％;心脏二位相示心影普大并心衰表现,心胸比率为0.68。入院后“误”将P与洋地黄等药物同时应用,次日查房时发现患者心率已减慢至84次/分,即停用P。停
Recently, we tried the beta blocker propranolol (Propra-nolol, P) treatment of 2 patients with heart failure can not control heart failure, and achieved good results. Example 1 Female, 57 years old, hospital number 76614. Clinical diagnosis: dilated heart disease and heart failure. Patients due to repeated palpitation, shortness of breath with edema six months admitted. Physical examination on admission: BP130 / 90mmHg, jugular vein engorgement, hepaticogancreatic reflux syndrome (+), HR120 beats / min, arrhythmia, apical zone S_3, and lower extremity edema. ECG showed sinus tachycardia with Ⅰ degree Ⅱ A-VB, myocardial damage; UCG showed a large heart, ventricular wall thickening rate of systolic <30%; heart of the second phase of heart shadow generalized and heart failure performance, Mythical ratio is 0.68. Admission “wrong” P and digitalis and other drugs at the same time, the next round of rounds found in patients with heart rate has slowed to 84 beats / min, that is, disable P. stop