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我院自1994年以来收治急性左心衰竭患者56例,现将本文对治疗急性左心衰竭时应用速尿、西地兰与加用硝酸甘油作一比较,报道如下。 1 资料和方法 1.1 病例 急性左心衰竭患者56例,男39例,女17例。年龄24～72岁,平均为59.6岁。其中冠心病14例,高血压病15例,风湿性心脏病9例,心肌炎6例,扩张型心肌病9例,急性心肌梗塞3例。在56例患者中,1994年前入院27例,1994年后入院29例,二组病例在原发病上无明显差异。 1.2 治疗方法 所有患者入院后均给予吸氧、心电、血压监护,开通静脉通路。对照组27例患者经速尿20～40mg静脉推注,西地兰0.4mg加入5％葡萄糖40ml后缓慢静脉推注。治疗组29例患者先给予硝酸甘油5～10mg加入5％葡萄糖50ml中以维泵静脉推注,其速度根据血压、心率及患者的呼吸困难、烦躁、发绀、出汗等情况调节,再根据患者的心率、尿量、血压及在近半个月内是否应用过洋地黄制剂等加用西地兰0.2mg加入5％葡萄
56 cases of acute left heart failure admitted to our hospital since 1994, now this article for the treatment of acute left heart failure with furosemide, cedilanid and add nitroglycerin for a comparison reported below. 1 Materials and Methods 1.1 cases of acute left heart failure in 56 patients, 39 males and 17 females. Aged 24 to 72 years old, with an average of 59.6 years old. Of which 14 cases of coronary heart disease, hypertension in 15 cases, 9 cases of rheumatic heart disease, myocarditis in 6 cases, 9 cases of dilated cardiomyopathy, acute myocardial infarction in 3 cases. Among the 56 patients, 27 were admitted to hospital before 1994 and 29 were admitted to hospital after 1994. There was no significant difference between the two groups in the primary disease. 1.2 Treatment All patients were given after admission oxygen, ECG, blood pressure monitoring, open venous access. The control group of 27 patients by furosemide 20 ~ 40mg intravenous injection, cedilanid 0.4mg 5% glucose 40ml after a slow intravenous injection. 29 patients in the treatment group were given nitroglycerin 5 ~ 10mg 5% glucose 50ml in order to pump intravenous infusion, the speed according to blood pressure, heart rate and patients with dyspnea, irritability, cyanosis, sweating, etc., according to the patient Of heart rate, urine output, blood pressure and whether the application of digitalis preparations in the past two weeks and so on with cedilamine 0.2mg add 5% grape