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自1986年5月～1990年5月,我们对31例难治性心衰及9例急性心肌梗塞并发心衰发病不足24小时者,采用了多巴酚丁胺与硝普钠或苄胺唑啉联合静脉滴注治疗,临床上取得了较满意的疗效,现总结报告如下。1 一般资料与方法本组女性8例,男性32例,年龄为24～75岁;病程5小时～25年。急性心肌梗塞23例:其中广泛前壁心肌梗塞12例,下壁心肌梗塞2例,前壁心肌梗塞7例,心内膜下心肌梗塞2例。风湿性心脏病7例:其中1例为二尖瓣换瓣术后。扩张型心肌病8例:其
From May 1986 to May 1990, we treated 31 patients with refractory heart failure and 9 patients with acute myocardial infarction who had less than 24 hours of heart failure. Dobutamine and sodium nitroprusside Morphine combined with intravenous drip therapy, clinically achieved more satisfactory results, are summarized as follows. 1 General Information and Methods The group of 8 females, 32 males, aged 24 to 75 years; duration of 5 hours to 25 years. 23 cases of acute myocardial infarction: 12 cases were extensive anterior myocardial infarction, 2 cases of inferior myocardial infarction, 7 cases of anterior myocardial infarction, 2 cases of subendocardial myocardial infarction. 7 cases of rheumatic heart disease: one case of mitral valve replacement surgery. Dilated cardiomyopathy in 8 cases: its