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我们试用多巴酚丁胺静滴治疗顽固性左心衰11例,效果满意。病人年龄35～67岁,风湿性心脏病并主动脉瓣病变4例,扩张型心肌病6例,冠心病1例。合并房颤9例,均经洋地黄、强效利尿剂和血管扩张剂治疗无明显好转而加用多巴酚丁胺。治疗:多巴酚丁胺80～120mg加入10%葡萄糖液500ml中,以2.5μg/(kg·min)静滴,然后根据病情调节滴速,最大滴速为5μg/(kg·min),每天1次,7天为一疗程。若心衰改善不满意,可于3天后行第二疗程。本组治疗1个疗程者8例,2个
We try dobutamine intravenous infusion of refractory left heart failure in 11 cases, the effect is satisfactory. Patients aged 35 to 67 years old, rheumatic heart disease and aortic valve disease in 4 cases, dilated cardiomyopathy in 6 cases, 1 case of coronary heart disease. 9 cases of atrial fibrillation, both by digitalis, potent diuretics and vasodilators no significant improvement in the treatment with the addition of dobutamine. Treatment: Dobutamine 80 ~ 120mg was added to 500ml of 10% dextrose solution and then intravenously dripped at 2.5μg / (kg · min), then the drip rate was adjusted according to the condition, the maximum drip rate was 5μg / (kg · min) 1 times, 7 days for a course of treatment. If you are not satisfied with improvement of heart failure, you can take the second course of treatment after 3 days. This group of treatment of a course of treatment in 8 cases, 2