本文总结了应用酚妥拉明并用多巴胺、开博通治疗急性左心衰竭、顽固性心衰,急进型高血压和高血压脑病30例的治疗效果和经验。30例中显效26例,有效4例。认为临床效果可靠,不仅缩短了疗程,而且降低了洋地黄和利尿剂的用量避免了因离子紊乱,酸硷失衡带来的难以纠正的不良后果。三种药物合理搭配,互补长短,是抢救心血管急症中行之有效的方法。 This article summarizes the treatment effect and experience of 30 cases of phentolamine combined with dopamine, Kai Boxung’s treatment of acute left heart failure, refractory heart failure, acute hypertension and hypertensive encephalopathy. 26 cases markedly effective in 30 cases, effective in 4 cases. Considered reliable clinical effect, not only shorten the course of treatment, but also reduce the amount of digitalis and diuretics to avoid due to ion disorders, acid-base imbalance brought unmanageable adverse consequences. Reasonable with three drugs, complementary length, is an effective method to rescue cardiovascular emergencies.