论文部分内容阅读
目的分析舒张性心力衰竭的临床特征及治疗方法。方法回顾我院2005年2月至2009年12月收治110例舒张性心力衰竭(DHF)患者的临床资料进行汇总结分析。结果本组110例均诊断为DHF,一般心力衰竭程度较轻,可有充血性心力衰竭表现多为肺淤血表现,心脏超声检查,左心室不大,左心室壁大多增厚,左房增大,LVEF正常,舒张功能异常。110例DHF患者经治疗后,显效64例(58.18%),有效39例(35.45%),无效7例(6.37%),总有效率为93.63%。结论应及早正确诊断DHF,病因预防及抗心室重构治疗对DHF的防治尤其重要;联合治疗DHF减轻心室重构并积极改善心功能;洋地黄类药物治疗DHF不敏感应慎用。
Objective To analyze the clinical characteristics and treatment of diastolic heart failure. Methods The clinical data of 110 patients with diastolic heart failure (DHF) admitted to our hospital from February 2005 to December 2009 were retrospectively analyzed. Results The group of 110 cases were diagnosed as DHF, the general level of heart failure, may have congestive heart failure mostly pulmonary congestion, echocardiography, left ventricular small, mostly thickening of the left ventricular wall, left atrial enlargement , LVEF normal, diastolic dysfunction. After treatment, 64 patients (58.18%) were effective, 39 (35.45%) were effective, 7 (6.37%) were ineffective and the total effective rate was 93.63%. Conclusion DHF should be correctly and correctly diagnosed as early as possible. Etiology prevention and anti-ventricular remodeling therapy are particularly important for the prevention and treatment of DHF. Combined treatment of DHF can reduce ventricular remodeling and improve heart function. Digoxin-free treatment should be used with caution.