论文部分内容阅读
肝素用于治疗肺心病并发DIC已被广大临床工作者所熟悉,但对其利尿效果的报道尚不多见。我们应用于肝素治疗肺心病难治性心力衰竭10例,观察其利尿作用效果较好。现报道如下: 一、病例选择 本组病例均为住院病人。男6例,女4例,年龄为65～67岁,病程在10年以上。临床症状:胸闷,气短,呼吸困难,腹胀,纳差,尿少。体征:除肺心病体征外,尚有肝脏肿大,腹水征(+)。双下肢凹陷性水肿。确诊为慢性肺源性心脏病并发心力衰竭。经消炎治疗控制感染后,心力衰竭并无明显好转,应用利尿及血管扩张药物等治疗一周以上效果不佳者,均试用肝素治疗。
Heparin for the treatment of pulmonary heart disease complicated by DIC has been familiar to the majority of clinicians, but its diuretic effect is still rare. We applied heparin treatment of refractory heart failure of pulmonary heart disease in 10 cases, observed its diuretic effect is better. Are reported as follows: First, the case selection This group of patients were hospitalized patients. 6 males and 4 females, aged 65 to 67 years old, duration of more than 10 years. Clinical symptoms: chest tightness, shortness of breath, difficulty breathing, bloating, anorexia, oliguria. Signs: In addition to pulmonary heart disease symptoms, there are liver enlargement, signs of ascites (+). Depression of both lower extremity edema. Confirmed as chronic pulmonary heart disease complicated by heart failure. Anti-inflammatory treatment of infection control, heart failure and no significant improvement in the application of diuretic and vasodilator drugs for more than one week of poor outcomes, were tested with heparin.