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在充分卧床、限盐、强心、利尿和扩血管治疗无效后的34例慢性严重心力衰竭患者加用多巴酚丁胺、多巴胺、酚妥拉明联合静滴,并对其临床症状、体征和血液动力学的参数进行观察、测定。 1 资料与方法 1.1 病例选择:来自本院内科住院的慢性严重心力衰竭患者,经充分卧床休息、限盐、饮食、足量洋地黄、利尿剂、血管扩张剂及原发病的积极治疗后,心功能仍为Ⅳ级或Ⅲ级者34例(NYHA标准),男20例,女14例,年龄:24至72岁,平均51.4岁。冠心病11例,风湿性联合瓣膜病8例,扩张性心肌病6例,
Thirty-four patients with chronic severe heart failure were treated with dobutamine, dopamine and phentolamine in combination with intravenous drip after adequate bed rest, salt restriction, cardiac, diuretic and vasodilator therapy, and their clinical symptoms and signs And hemodynamic parameters were observed and measured. 1 Materials and Methods 1.1 Case Selection: Patients with chronic severe heart failure hospitalized in our hospital, after adequate bed rest, salt restriction, diet, adequate digitalis, diuretics, vasodilators and active treatment of the primary disease, Cardiac function is still grade Ⅳ or grade 34 in 34 cases (NYHA standard), 20 males and 14 females, aged 24 to 72 years, mean 51.4 years. 11 cases of coronary heart disease, rheumatic valvular disease in 8 cases, dilated cardiomyopathy in 6 cases,