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目的：探讨云南思茅地区近10年来心力衰竭(心衰)的治疗概况。方法：对我院1987～1989年136例和1997～1999年200例心衰患者的资料作比较，以了解云南思茅地区10年间该病的自然病情和诊治学的改变。结果：与1987～1989年组比较，1997～1999年组患者的基本临床资料除高血压心脏病心衰率增加外(P＜0.05)，其他无任何改变。由于血管紧张素转换酶抑制剂(ACEI)等药物的应用，使心衰平均住院病死率由45.59%降至18.00%，有统计学意义(P＜0.05)。但心衰猝死率居高不下。结论：近10年来，由于ACEI，β受体阻滞剂的应用，使心衰住院病死率明显下降，但猝死率无改变。“,”Objective:To study the state of treatment in congestive heartfailure in recent 10 years. Method:The data based on 336 cases with congestive heart failure admitted in our hospital, among them 136 cases admitled in 1987～1989 and 200 cases in 1997～1999. Their medication, morbidity and mortality were compared. Result:It was showed that morbidity of hypertensive heart failure was increased.The mortality of heart failure reduced from 45.59% to 18.00% (P＜0.05). But sudden cardic death rate were still at the high level (P＞0.05). The medicinal treatment had great change in two different periods (1987～1989 versus 1997～1999), such as ACEI and β-blockers were used more frequently in recent years. Conclusion:Due to improvement of medicinal treatment, the in hospital mortality was decreased in recent years, but sudden cardiac death rate was not changed.