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多巴酚丁胺系充血性心力衰竭短期治疗有效的收缩能药物。虽然会产生耐药性,但其在使用上的主要限制乃为必须静脉给药。作者在门诊对难治性充血性心力衰竭患者采用多巴酚丁胺静脉滴注每周二次、每次24小时的治疗方法。用一便携式滴注泵,经一由手术插入颈外静脉固定于右房近端的留置静脉导管给药。导管远端经皮肤于胸骨旁区穿出。教会病人对导管进行适当护理,包括每日用生理盐水及肝素清洗以及无菌地将导管连接于滴注泵。多巴酚丁胺由药剂人员稀释于生理盐水中,置入泵容器。
Dobutamine-based short-term treatment of congestive heart failure effective contractility drugs. Although drug resistance can develop, its main limitation in use is that it must be administered intravenously. Authors in the outpatient treatment of patients with refractory congestive heart failure using dobutamine intravenous infusion twice a week, each 24-hour treatment. A portable drip pump was used for administration via an indwelling venous catheter fixed surgically into the jugular vein proximal to the right atrium. The distal end of the catheter pierces the paraxial region through the skin. Church patients are given proper care of the catheter, which includes daily cleaning with saline and heparin and aseptic catheterization to the drip pump. Dobutamine diluted by the pharmacist in saline, placed in the pump container.