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难治性心力衰竭(RHF)多为心脏病终末期表现,临床治疗比较棘手,死亡率极高,近年来我院在常规用药的基础上加用卡托普利(CPT)、硫酸镁治疗难治性心力衰竭12例,取得了较满意疗效,现报告如下: 病历选择:全组均为住院心衰(HF)病人,经休息,限盐,吸氧,去除病因,强心利尿及血管扩张剂等治疗无效或效果不明显的患者(即难治性心力衰竭)。其中男7例,女5例,年龄32～75岁。心衰病因:风心病3例、冠心病4例,肺心病2例、高心病2例,心肌病1例。临床上有心悸、乏力、呼吸困难、浮肿、尿少、肝肿大等全心衰竭的表现。心功能分级(按NYHA分缓标准),心功能Ⅳ级8例,Ⅲ级4例。
Refractory heart failure (RHF) mostly end-stage heart disease performance, clinical treatment is more difficult, the mortality rate is extremely high in recent years, our hospital on the basis of conventional medication plus captopril (CPT), magnesium sulfate treatment difficult 12 cases of patients with congestive heart failure, and achieved satisfactory results, are as follows: Medical records: All patients were hospitalized patients with heart failure (HF), after rest, salt restriction, oxygen, removal of etiology, cardiac diuretic and vasodilation Agents ineffective or ineffective treatment of patients (ie, refractory heart failure). Of which 7 males and 5 females, aged 32 to 75 years. Cause of heart failure: rheumatic heart disease in 3 cases, 4 cases of coronary heart disease, pulmonary heart disease in 2 cases, 2 cases of heart disease, cardiomyopathy in 1 case. Clinical palpitations, fatigue, dyspnea, edema, oliguria, hepatomegaly and other heart failure performance. Cardiac function grading (according to NYHA sub-standard), cardiac function grade Ⅳ in 8 cases, grade Ⅲ in 4 cases.