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硝苯地平(Nifedipine)治疗扩张型心肌病并发充血性心力衰竭,对其疗效和剂量尚存争议。本文总结硝苯地平治疗20例的疗效。 资料和方法 1986～1993年间对20例扩张型心肌病并发充血性心力衰竭患者应用硝苯地平治疗。扩张型心肌病为临床诊断,超声心动图发现4个心腔扩大、室壁变薄、瓣口开放减小、室壁运动减弱,并除外冠心病及陈旧心肌梗塞、高血压心脏病、瓣膜病、病毒性心肌炎等,未做冠状动脉造影及心室造影。男12例,女8例,平均
Treatment of dilated cardiomyopathy with concomitant congestive heart failure by nifedipine remains controversial for its efficacy and dosage. This article summarizes the efficacy of nifedipine in 20 cases. Materials and Methods From 1986 to 1993, 20 patients with dilated cardiomyopathy complicated with congestive heart failure were treated with nifedipine. Dilated cardiomyopathy was clinically diagnosed. Echocardiography revealed four enlargement of the cardiac chamber, thinning of the wall, reduction of the valve opening, reduction of wall motion, and exclusion of coronary heart disease and old myocardial infarction, hypertensive heart disease, valvular disease , Viral myocarditis, etc., did not make coronary angiography and ventriculography. There were 12 males and 8 females, on average