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重度心衰住院病人50例,其中男28例,女22例。年龄25～78岁。风湿性心脏病26例,冠心病12例,心肌病8例,高血压性心脏病3例,先天性心脏病1例。心功能Ⅲ～Ⅳ级。并发症有酸碱失衡、电解质紊乱、心律失常和脏器功能衰竭。及时正确地处理并发症,是重度心衰治疗中的一个重要环节。本组经治疗后,存活组42例(临床治愈31例,好转11例);死亡组8例,均有2个以上脏器受损(2例猝死,6例死于多脏器损伤)。本组32％的病例曾发生程度不同的低血钾,死亡组达50％。心律失常病例多有低血钾,且不易为抗心律失常药物所纠正。低血钠在顽固
50 patients with severe heart failure inpatients, including 28 males and 22 females. Age 25 ~ 78 years old. 26 cases of rheumatic heart disease, coronary heart disease in 12 cases, 8 cases of cardiomyopathy, hypertensive heart disease in 3 cases, congenital heart disease in 1 case. Heart function Ⅲ ~ Ⅳ level. Complications of acid-base imbalance, electrolyte imbalance, arrhythmia and organ failure. Timely and correct treatment of complications, severe heart failure is an important part of treatment. In this group, 42 cases survived (31 cases were cured and 11 cases improved) after treatment. In the death group, 8 cases had more than 2 organs impaired (2 cases of sudden death and 6 cases died of multiple organ injury). 32% of the patients in this group had different degrees of hypokalemia occurred, the death group reached 50%. Arrhythmias more hypokalemia cases, and not easy to correct for anti-arrhythmic drugs. Hb is stubborn