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1985～1989年,我们用小剂量硝普钠、多巴胺治疗严重心力衰竭32例,取得较好疗效,报告如下。1 临床资料1.1 一般资料 本组32例,年龄28～70岁,平均52.8岁,其中高心病7例,冠心病5例,急性心肌梗塞2例,扩张型心肌病8例,风湿性心脏病6例,心肌炎2例,先天性心脏病2例,有明显心衰病史1～4年,平均2.1年。1.2 病例选择 慢性充血性心力衰竭患者,经休息、限制水钠、强心、利尿、部分使用激素等常规治疗,病情无缓解,心电图证实有洋地黄中毒表现,暂停洋地黄类药物,改用本方案治疗。
From 1985 to 1989, we used a small dose of sodium nitroprusside and dopamine in the treatment of 32 cases of severe heart failure, and achieved good results, the report is as follows. 1 Clinical data 1.1 General Information The group of 32 patients, aged 28 to 70 years, mean 52.8 years, of which 7 cases of high heart disease, coronary heart disease in 5 cases, 2 cases of acute myocardial infarction, dilated cardiomyopathy in 8 cases, rheumatic heart disease 6 Cases, 2 cases of myocarditis, congenital heart disease in 2 cases, a clear history of heart failure 1 to 4 years, an average of 2.1 years. 1.2 cases of patients with chronic congestive heart failure, after rest, limiting sodium, cardiac, diuretic, part of the use of hormones and other conventional treatment, no remission, ECG confirmed the performance of digitalis poisoning, digitalis to stop the drug, switch to this Program treatment.