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本文30例慢性肺心病,其中16例以呼吸功能衰竭为主的喘息型肺心病;14例以心力衰竭为主(包括8例难治性心力衰竭)。应用消心痛治疗,每次10毫克舌下含化,每半小时一次共10次或20毫克一小时一次,共5次,一周左右为一疗程。30例中除3例症状、体征未完全消失外,其他27例症状、体征完全消失。舌下含化消心痛后,扩张小动脉和容量静脉,降低心脏的后负荷和前负荷,减少氧耗,改善心功能,增加肾血流量,扩张支气管,起到强心、利尿、平喘、有利控制肺部感染等作用。对机体电解质和酸硷平衡的影响较小。
In this paper, 30 cases of chronic pulmonary heart disease, of which 16 cases of respiratory failure-based asthmatic pulmonary heart disease; 14 cases of heart failure (including 8 cases of refractory heart failure). Application of Xiao Xiao Tong treatment, each 10 mg sublingual, once every half an hour or 20 mg once a total of 5 times a week or so for a course of treatment. In addition to the three cases in 30 cases, the symptoms did not completely disappear, the other 27 cases of symptoms and signs completely disappeared. Sublingual subtotal consumption of pain, the expansion of the small arteries and the capacity of the vein, reduce the heart’s afterload and preload, reduce oxygen consumption, improve cardiac function, increase renal blood flow, expansion of the bronchus, play a cardiac, diuretic, asthma, Beneficial control of lung infection and other effects. The body electrolyte and pH balance less.