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泵衰竭为急性心肌梗塞常见而严重的并发症与死亡原因之一。我们采用硫酸镁、多巴酚丁胺和硝普钠联合治疗急性心肌梗塞泵衰竭收到了良好的效果。本文就其临床应用及疗效分析报道如下: 1 对象与方法 1.1 病例选择 21例经临床、心电图和心肌酶谱系列改变确诊为急性心肌梗塞伴泵衰竭的患者,其中男性16例,女性5例,年龄36～81岁,(平均58岁)。梗塞按心电图定位:广泛前壁8例,前壁4例,前间壁4例,下壁3例,正后壁2例。泵衰竭分级按KilliP氏分级方法进行判定,其中Ⅱ级9例,Ⅲ级7例,Ⅳ级5例。 1.2 方法 1.2.1 给药方法:(1)多巴酚丁胺60mg+5％葡萄糖250ml,以5μg/min速度持续静脉点滴。(2)硝普钠50mg+5％葡萄糖250ml,以35μg/min速度持续静
Pump failure is a common and serious complication and cause of death in acute myocardial infarction. We received good results with magnesium sulfate, dobutamine and sodium nitroprusside in the treatment of acute MI failure. This article on its clinical application and efficacy analysis reported as follows: 1 Subjects and Methods 1.1 Case Selection 21 cases were diagnosed as acute myocardial infarction with pump failure by clinical, electrocardiogram and myocardial enzyme series changes in patients, including 16 males and 5 females, Age 36 ~ 81 years old, (average 58 years old). According to the location of the infarction ECG: 8 cases of extensive anterior wall, anterior wall in 4 cases, anterior wall in 4 cases, inferior wall in 3 cases, posterior wall in 2 cases. Pump failure grading by KilliP’s grading method to determine, of which Ⅱ grade in 9 cases, Ⅲ grade in 7 cases, Ⅳ grade in 5 cases. 1.2 Methods 1.2.1 Administration: (1) dobutamine 60mg + 5% glucose 250ml, 5μg / min speed continuous intravenous drip. (2) Sodium nitroprusside 50mg + 5% glucose 250ml, at 35μg / min speed continued calm