近年来有报告心力衰竭病人短期静脉滴注多巴胺后,心脏功能的改善可持续数月之久。本人对16例充血性心力衰竭病人静脉滴注多巴胺进行了观察,现报告如下。选择住院充血性心力衰竭患者16例,其中男性8例,女性8例,年龄在37～71岁之间,平均60岁。心功能Ⅱ级4例,Ⅲ级5例,Ⅳ级7例。用多巴胺20～40mg 加入5%葡萄糖或生理盐水250～500ml 内静脉滴入。开始速度为8～12滴/分。浓度为0.5～1.0μg/kg/分钟,逐渐加大至2～10μg/kg/分钟。疗效判断标准:尿量增加,浮肿消失,心慌气短及罗音消失,心率减慢为显效。尿量增加,浮肿、心慌气短减轻,肺底罗音减少为有效。症状及体征无明显改善,或症状 In recent years there have been reports of short-term intravenous infusion of dopamine in patients with heart failure, the improvement of cardiac function can last for months. I am 16 cases of congestive heart failure intravenous drip dopamine were observed, are as follows. 16 patients with congestive heart failure were selected, including 8 males and 8 females, aged from 37 to 71 years old with an average of 60 years. Heart function grade Ⅱ 4 cases, Ⅲ grade 5 cases, Ⅳ grade 7 cases. With dopamine 20 ~ 40mg 5% glucose or saline 250 ~ 500ml intravenous infusion. Start speed of 8 to 12 drops / min. The concentration of 0.5 ~ 1.0μg / kg / min, gradually increased to 2 ~ 10μg / kg / min. Efficacy criteria: increased urine output, edema disappear, palpitation shortness of breath and rales disappear, slowing down the heart rate markedly. Increased urine output, edema, palpitation shortness of breath reduced, pulmonary rales reduced to effective. Symptoms and signs no significant improvement, or symptoms