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在小儿心力衰竭的治疗中,洋地黄是目前临床上应用最广泛的正性肌力药物。因为洋地黄药物的饱和量与中毒量很接近,在心肌缺血的患者容易引起中毒,且用量不足与过量之间不易鉴别,出现心脏传导阻滞或严重低钾时不易使用,对难治性心力衰竭效果不佳,近十几年来新开发出多种非洋地黄类正性肌力药物。1 洋地黄药物应用新观点 ①在治疗过程中多采用同一种强心甙,以便于饱和量与
In the treatment of pediatric heart failure, digitalis is currently the most widely used inotropic drugs in clinical practice. Because digitalis drug saturation and the amount of poisoning is very close, in patients with myocardial ischemia is likely to cause poisoning, and the amount of insufficient and difficult to identify between the overdose, heart block or severe low potassium is not easy to use, refractory Heart failure is ineffective, and over the past decade, many non-digitalis positive inotropic drugs have been newly developed. 1 Digitalis new point of view of drug use ① in the course of treatment with the use of the same kind of cardiac glycosides in order to facilitate the saturation and