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近年来由于对心力衰竭的血流动力学深入了解,应用血管扩张剂治疗心衰的报导日益增多,但儿科有关资料尚少.自1979年起我们用血管扩张剂治疗小儿严重心衰20例,取得较为满意的效果,现总结如下. 临床资料一、治疗对象共20例(男13例,女7例).年龄:1～12岁.原发疾病:先天性心脏病9例(室间隔缺损3例,四联症术后2例,动脉导管未闭、房间隔原发孔缺损、主动脉瓣狭窄伴主动脉缩窄、大动脉错位各1例),风湿性心脏病4例,克山病2例,心内膜弹力
In recent years, due to the deep understanding of the hemodynamics of heart failure, the application of vasodilators in the treatment of heart failure is reported more and more, but pediatric data are still scarce.We used vasodilators to treat 20 cases of severe heart failure in children since 1979, Obtain more satisfactory results, are summarized as follows.Clinical data First, the treatment of a total of 20 cases (13 males and 7 females) .Age: 1 to 12 years old .Disease: congenital heart disease in 9 cases (ventricular septal defect 3 cases, four cases of postoperative complications in 2 cases, patent ductus arteriosus, primary atrial septal defect, aortic stenosis with aortic constriction, aortic dislocation in 1 case), rheumatic heart disease in 4 cases, Keshan disease 2 cases, endocardial elasticity