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七十年代以来心衰的治疗学有了较大的进展。心衰的治疗目的是:(1)消除或改善症状;(2)延长生命。心衰的治疗方针有:①应用强心剂增强衰竭心肌的收缩力;②应用血管扩张剂降低心脏的前后负荷,减少心脏的负担;③应用利尿剂消除膨胀血容量及体内多余的水份。能否达到此目的,又取决于:a.对心衰是否有微观的了解;b.对用药的药代动力学是否有足够的熟悉。治疗心衰的药物很多,种类也较繁杂,近年对老药重新进行了评价,新药又不断出现,所以合理用药是提高心衰治愈率的关键。
Since the seventies heart failure treatment has made great progress. Heart failure treatment aims to: (1) eliminate or improve symptoms; (2) prolong life. Heart failure treatment guidelines are: ① the application of cardiotonic drugs to enhance myocardial contractility; ② vasodilator to reduce the heart before and after the load, reducing the burden on the heart; ③ diuretics to eliminate bloating and excess body water. Whether or not this can be achieved depends on: a. Whether there is a microscopic understanding of heart failure; b. Whether there is sufficient familiarity with the pharmacokinetics of the drug. Treatment of heart failure, many drugs, the types are more complicated, in recent years, re-evaluation of the old drug, new drugs continue to appear, so the rational use of drugs is to improve the cure rate of heart failure key.