论文部分内容阅读
采用小剂量氯丙嗪肌注治疗11例急性左心衰竭,临床确获良好疗效,能使心衰迅速得到控制。11例中男9例,女2例。年龄29～62岁。6例为风湿性心脏病二尖瓣狭窄并关闭不全,4例高血压心脏病,1例冠心病(急性心肌梗塞)。临床均有典型左心衰竭症状,如呼吸困难、面色苍白、紫绀、烦躁不安、咳嗽,吐粉红色泡沫痰、出冷汗、喘鸣、肺部湿罗音等。4例经用快速毛地黄、硝普钠等治疗,心衰未能控制。所有患者均采用氯丙嗪10mg肌注,一般注后5～10分钟即生效,30分钟左
A small dose of chlorpromazine intramuscular injection treatment of 11 cases of acute left heart failure, clinically a good effect, make rapid control of heart failure. 11 cases of 9 males and 2 females. Age 29 ~ 62 years old. Six cases had rheumatic mitral stenosis with incomplete closure, four cases of hypertensive heart disease, and one case of coronary heart disease (acute myocardial infarction). Clinical symptoms are typical of left heart failure, such as dyspnea, pale, cyanosis, irritability, cough, spit pink foam sputum, cold sweat, wheezing, lung wet rales. 4 cases of rapid hair yellow, sodium nitroprusside and other treatment, heart failure failed to control. All patients were treated with chlorpromazine 10mg intramuscular injection, the general note after 5 to 10 minutes into effect, 30 minutes left