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本文对我院收治的100例,年龄60—82岁充血性心力衰竭患者的心脏病种类、诱因、临床和治疗特点进行了分析。临床特点以神经系统功能障碍为突出。老年人心衰利尿治疗应从小剂量开始、缓慢、间断给药。地高辛0.125—0.25mg/日,中毒率达22.64%,且随年龄而增加。83例使用血管扩张剂以减轻心脏前后负荷。对难治性心衰不宜用洋地黄类药物者,应用了非洋地黄正性肌力药物多巴胺或多巴酚丁胺治疗,当心衰合并低血压者,二药可同时联合使用。
In this paper, 100 cases of patients admitted to our hospital, aged 60-82 years of congestive heart failure patients with heart disease types, causes, clinical and treatment characteristics were analyzed. Clinical features of the nervous system dysfunction as prominent. Heart failure diuretic treatment of the elderly should be started from a small dose, slow, intermittent administration. Digoxin 0.125-0.25mg / day, poisoning rate of 22.64%, and increased with age. 83 cases of vasodilators used to reduce anterior and posterior cardiac load. For refractory heart failure should not use digitalis drugs, the application of non-digitalis inotropic drugs dopamine or dobutamine treatment, beware of failure and hypotension, two drugs can be used simultaneously.