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笔者用依那普利治疗高血压性心脏病,充血性心力衰竭100例,取得满意效果,现报告如下。 1 一般资料 1997年9月～1999年9月收治178例均按世界卫生组织(1978年)高血压病的诊断标准经临床体检、X线、心电图及超声心动图确诊为高血压性心脏病。①治疗组:100例。男68例,女32例;32～76岁,平均53.5岁。病期120～730天,平均368天。均有慢性心力衰竭(CHF),心功能分级:Ⅱ级36例,Ⅲ级56例,Ⅳ级8例。有心律失常32例,房性早搏19例,室性早搏5例,其中心房纤颤8例,糖尿病12例,高脂血症14例,肾功能不全8例。②对照组:78例,男48例,女30例,年龄32～78岁。平均56岁,病期108～740天,平均370天。均有CHF,心功能分级:Ⅱ级25例,Ⅲ级49
I use enalapril treatment of hypertensive heart disease, congestive heart failure in 100 cases, and achieved satisfactory results, are as follows. 1 General Information September 1997 ~ September 1999 admitted to 178 cases were diagnosed as hypertensive heart disease by clinical examination, X-ray, electrocardiogram and echocardiography according to the diagnostic criteria of hypertension of the World Health Organization (1978). ① treatment group: 100 cases. 68 males and 32 females; 32-76 years old, average 53.5 years old. The duration of 120 to 730 days, an average of 368 days. All had chronic heart failure (CHF), heart function grading: 36 cases of grade Ⅱ, 56 cases of grade Ⅲ and 8 cases of grade Ⅳ. There were 32 cases of arrhythmia, 19 cases of atrial premature beats, 5 cases of premature ventricular contractions, including 8 cases of atrial fibrillation, 12 cases of diabetes, hyperlipidemia in 14 cases, 8 cases of renal insufficiency. ② control group: 78 cases, 48 males and 30 females, aged 32 to 78 years. Average 56 years old, the disease period of 108 to 740 days, an average of 370 days. Have CHF, heart function classification: Ⅱ grade in 25 cases, Ⅲ grade 49