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14例肺心病心衰患者,经抗感染、解痉平喘、持续低流量吸氧、止咳祛痰、强心利尿等综合治疗或加用一种血管扩张剂治疗,疗效均不满意,在此综合治疗基础上,联用酚妥拉明和多巴胺治疗,效果显著,临床症状体征改善明显,显效10例,有效3例,无效1例,总有效率达92.7%,而副作用轻微。临床实践证明,对不伴有休克的反复发作的肺心病心衰患者,酚妥拉明和多巴胺联合治疗是一种有效可行的方法。
14 cases of patients with heart failure of pulmonary heart disease, anti-infective, antispasmodic and asthma, continuous low-flow oxygen, cough and expectorant, cardiac diuretic or combined with a vasodilator therapy, the efficacy is not satisfied, in this comprehensive treatment Based on the combination of phentolamine and dopamine treatment, the effect is significant, significant improvement in clinical symptoms and signs, markedly effective in 10 cases, 3 cases, 1 case of ineffective, the total effective rate was 92.7%, while the minor side effects. Clinical practice has proved that, for patients with heart failure of pulmonary heart disease without recurrent shock, phentolamine and dopamine combination therapy is an effective and feasible method.