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顽固性心衰的治疗有时颇为困难,我们用硫酸镁治疗顽固性心衰5例,取得明显效果,总结如下。5例均为常规进行休息、限制水钠、利尿剂、洋地黄及血管扩张剂治疗难以控制者。其中男2例,女3例,年龄57～73岁。冠心病2例,肺心病1例,高血压性心脏病2例,心衰病史1个月～1年半。疗效标准为显效。①呼吸困难、浮肿明显减轻或消失,尿量明显增加;②心率减慢(90次/分以下),血压偏低至正常;③肺罗音明显减少或消失;④肝肿大明显缩小或正常;⑤电解质紊乱纠正或基本纠正。有效:以上各项部分减轻。治疗方法及疗效:经足量洋地黄、利尿剂及血管
Treatment of refractory heart failure is sometimes difficult, we use magnesium sulfate treatment of refractory heart failure in 5 cases, and achieved significant results, summarized as follows. 5 cases were routine rest, limiting water sodium, diuretics, digitalis and vasodilator treatment difficult to control. Including 2 males and 3 females, aged 57 to 73 years. 2 cases of coronary heart disease, 1 case of pulmonary heart disease, 2 cases of hypertensive heart disease, history of heart failure from 1 month to 1 year and a half. Efficacy standards for the marked effect. ① dyspnea, edema significantly reduced or disappeared, urine output increased significantly; ② heart rate slowed down (90 times / min), low blood pressure to normal; ③ pulmonary rales significantly reduced or disappeared; ④ hepatomegaly significantly reduced or normal ; ⑤ electrolyte disorder correction or basic correction. Effective: the above part of the mitigation. Treatment and efficacy: After sufficient digitalis, diuretics and blood vessels