严重充血性心力衰竭(CCF)的治疗,尽管采用某些新药,但难以奏效。本文作者应用甲苯喹唑磺胺(metolazone)治疗最佳传统疗法无效的心功能Ⅳ级的患者(纽约心脏协会标准)。病人和方法最佳传统疗法:住院卧床至少3天。限水盐。应用地高辛、袢利尿剂、保钾利尿剂、血管紧张素转换酶抑制剂(甲巯丙脯酸或乙丙 Severe congestive heart failure (CCF) treatment, despite the use of certain new drugs, but difficult to work. The authors applied metolazone to patients with class IV heart failure (New York Heart Association Standard) that failed the best traditional therapy. Best Practices for Patients and Methods: Stay in bed for at least 3 days. Water salt. Application of digoxin, loop diuretics, potassium sparing diuretics, angiotensin converting enzyme inhibitors (captopril or ethylene-propylene