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据Rossman报道,住老年医院和老年之家患者中45～58％有心衰。因此,对于老年人心衰的处理及合理用药显得尤为重要。现将我科1993～1997年间收治的60岁以上50例老年人急性左心衰应用利尿剂治疗的体会分析如下。 1 资 料 本组病例男35例,女15例,年龄60～88岁,均经临床、心脏二维B超、胸片、心电图确诊。其中冠心病25例、扩张性心肌病10例、高心病10例、风心病5例,合并房颤者24例、偶发室早10例、房早35例。50例均有呼吸困难、端坐呼吸、大汗淋漓、咳嗽、咳痰、发绀、双肺啰音,35例并颈静脉充盈,双下肢水肿。心功能均为NYHAⅣ级。
According to Rossman, 45 to 58% of patients in geriatric homes and elderly homes have heart failure. Therefore, for the elderly to deal with heart failure and rational use of drugs is particularly important. Now our department from 1993 to 1997 admitted to the elderly over the age of 60 50 cases of acute left heart failure using diuretic treatment experience is as follows. 1 Materials The group of 35 males and 15 females, aged 60 to 88 years old, are clinically, two-dimensional heart B-ultrasound, chest X-ray, ECG confirmed. Of which 25 cases of coronary heart disease, dilated cardiomyopathy in 10 cases, 10 cases of hyperglycemia, rheumatic heart disease in 5 cases, 24 cases of atrial fibrillation, sporadic as early as 10 cases, as early as 35 cases. All 50 patients had dyspnea, sitting on their breath, sweating, coughing, expectoration, cyanosis, pulmonary rales, filling of 35 cases with jugular vein and edema of both lower extremities. Heart function are NYHA Ⅳ level.