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目的:分析硝普钠治疗心力衰竭、心源性休克的临床疗效。方法:硝普钠25～50mg用葡萄糖250～500mL稀释,以2～12滴/min的速度缓慢滴入,避光,开始剂量宜小,无反应再逐渐加量,1次/d;急性左心衰可1～2次,慢性全心衰竭连续应用最长不超过1周;心源性休克24h持续滴注需与多巴胺合用,最长5d,每日应用最大剂量100mg。结果与结论:硝普钠对急性左心功能不全,尤其合并高血压者者,对慢性充血性心力衰竭和难治性心衰均能收到良好疗效,对心源性休克必须在补充循环血量基础上并用小剂量多巴胺可收到较好疗效。
Objective: To analyze the clinical efficacy of sodium nitroprusside in the treatment of heart failure and cardiogenic shock. Methods: Sodium nitroprusside 25 ~ 50mg diluted with glucose 250 ~ 500mL, slowly dripped 2 ~ 12 drops / min, dark, the initial dose should be small, no dose and then gradually, 1 / d; acute left Heart failure can be 1 or 2 times, continuous use of chronic heart failure up to a maximum of 1 week; cardiogenic shock 24h continuous infusion with dopamine, up to 5d, daily maximum dose of 100mg. RESULTS AND CONCLUSION: Sodium nitroprusside is effective in patients with acute left ventricular dysfunction, especially in patients with hypertension, both in patients with chronic congestive heart failure and refractory heart failure. Based on the amount and use of small doses of dopamine can receive a good effect.