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目的探讨急性左心衰竭治疗中并发低血压的原因、治疗和转归。方法对2009年1月-2010年12月本院18例在治疗期间并发低血压的急性左心衰竭患者进行回顾性临床分析。结果 18例患者年龄均大于65岁,其中年龄大于80岁者13例,占72%;治疗前收缩压低于110mmHg者14例,占77.8%;联合使用了吗啡、呋塞咪、血管扩张药者12例,占66.7%。结论对高龄、血压较低的急性左心衰竭患者治疗时要注意并发低血压的可能。
Objective To investigate the causes, treatment and prognosis of hypotension in the treatment of acute left heart failure. Methods The clinical data of 18 patients with acute left heart failure with hypotension during the treatment period from January 2009 to December 2010 were analyzed retrospectively. Results Eighteen patients were older than 65 years old, of which 13 cases were older than 80 years old, accounting for 72%. Pre-treatment systolic blood pressure less than 110mmHg in 14 cases, accounting for 77.8%; morphine, furosemide, vasodilator 12 cases, accounting for 66.7%. Conclusion In elderly patients with lower blood pressure, patients with acute left heart failure should pay attention to the possibility of hypotension.