我院应用多巴酚丁胺治疗慢性肺源性心脏病难治性心衰21例,获得较好的疗效。报道如下: 1 临床资料 1.1 病例选择 自1993年以来符合1979年全国修订的慢性肺心病诊断标准的21例住院患者,其中男性11例,女性10例,年龄47～79岁,平均60.6岁。临床表现:(1)咳、痰、喘重,明显紫绀。(2)肝颈静脉回流征阳性,肝大,全身浮肿或双下肢浮肿。(3)伴有冠心病、心律失常、呼吸衰竭严重并发症。(4)经抗 In our hospital, 21 cases of refractory heart failure of chronic cor pulmonale were treated with dobutamine, and better curative effect was obtained. Reported as follows: 1 clinical data 1.1 case selection since 1979, in line with the 1979 national revision of the diagnostic criteria for chronic pulmonary heart disease in 21 cases of hospitalized patients, including 11 males and 10 females, aged 47 to 79 years, mean 60.6 years old. Clinical manifestations: (1) cough, sputum, asthma, clear cyanosis. (2) positive hepatic jugular vein reflux, hepatomegaly, systemic edema or both lower extremity edema. (3) accompanied by coronary heart disease, arrhythmia, respiratory failure serious complications. (4) After the anti