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我们自1986年以来采用静点酚妥拉明治疗肺原性右心衰竭疗效较为满意,现将疗效观察结果报道如下: 病例选择:本组20例中,男12例,女8例,年龄38～70岁.肺心病史;5年以内者4例,6～10年12例,11年以上4例.多数病人反复出现心衰,一般均经用抗炎祛痰、吸氧、利尿、强心等常规治疗疗效不满意,即所谓难治性心衰. 方法与结果:以酚妥拉明20～30mg 加入10%葡萄糖500ml中,每日一次静点,速度为0.04～0.08mg/分,以7～10天为一疗程,同时抗感染氧疗及祛痰等综合治疗,尿量在24小时开始增加,3日内尿量增加最明显,平均每日尿量增加800～2500ml不等,水肿,呼吸困难,紫绀
We since 1986, the use of static point phentolamine treatment of pulmonary heart disease, right heart failure is more satisfactory, the curative effect is now reported as follows: Case Selection: The group of 20 patients, 12 males and 8 females, age 38 ~ 70 years old. Coronary heart disease; 4 cases within 5 years, 6 to 10 years in 12 cases, more than 11 years in 4. Most patients with recurrent heart failure, usually by anti-inflammatory expectorant, oxygen, diuresis, strong Heart and other conventional treatment efficacy is not satisfied, the so-called refractory heart failure.Methods and Results: Phentolamine 20 ~ 30mg added 10% glucose 500ml, once daily static point, the speed of 0.04 ~ 0.08mg / min, 7 to 10 days for a course of treatment, while anti-infective oxygen therapy and expectorant and other comprehensive treatment, urine output began to increase in 24 hours, 3 days, the most obvious increase in urine output, the average daily urine output increased 800 ~ 2500ml range, edema , Breathing difficulties, cyanosis