论文部分内容阅读
慢性充血性心力衰竭病人由于慢性缺氧,能量摄入不足,全身营养不良等因素使心脏功能进一步恶化而导致心脏恶液质综合征(SOCC,Syndrome of cardiac cachexia),SOCC病人一般对强心、利尿和扩张血管治疗反应欠佳,加强支持疗法是否有效?为此,我们从90年起采取输血、输白蛋白措施治疗SOCC病人21例,报告如下。 1 病例与方法 1.1 SOCC病人21例(男12例,男9例),年龄36～68(56±3.1)岁,病程4.6～21(8.6±3.5)年。风心病12例(57.1％),冠心病4例(19.0％),充血性心肌病3例(14.3％),肺心病2例(9.6％)。充血性心肌病3例(14.3％),肺心病2例(9.6％)。心功能NYHAⅢ级13例(61.9％),Ⅳ级8例(38.1％)。
Patients with chronic congestive heart failure due to chronic hypoxia, lack of energy intake, systemic malnutrition and other factors further deteriorate the heart function leading to cardiac syndrome (SOCC, Syndrome of cardiac cachexia), SOCC patients generally cardiac, Urethral and dilated vascular response to poor response to strengthen the supportive treatment is effective? For this reason, we have since 90 years to take transfusion, albumin measures in 21 patients with SOCC treatment, the report is as follows. 1 cases and methods 1.1 SOCC patients in 21 cases (12 males and 9 females), aged 36 to 68 (56 ± 3.1) years, duration of 4.6 to 21 (8.6 ± 3.5) years. There were 12 cases of rheumatic heart disease (57.1%), 4 cases of coronary heart disease (19.0%), 3 cases of congestive cardiomyopathy (14.3%) and 2 cases of pulmonary heart disease (9.6%). Congestive cardiomyopathy in 3 cases (14.3%), pulmonary heart disease in 2 cases (9.6%). Cardiac function NYHA Ⅲ grade 13 cases (61.9%), Ⅳ grade 8 cases (38.1%).