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贵刊1993年第17、18期刊登《甘露醇在重度肺心病右心衰时的应用》后,笔者应用此法对1993年10月～1994年4月间收治肺心病右心衰病人20例进行了验证,并以18例作对照,结果效果较满意,现总结如下。 1 临床资料 1.1 一般资料 按1977年全国第二次肺心病专业会议诊断标准和内科学教材心衰的诊断,将38例肺心病病人随机分组,治疗组20例,对照组18例。心功能Ⅳ级31例,Ⅲ级7例,两组病人病情、年龄基本相似。 1.2 治疗方法 38例病人入院后均给以综合治疗(卧床休息、限盐、抗炎、吸氧、祛痰、解痉平喘、强心利尿、激素,调节水电解质平衡,应用呼吸兴奋剂等)。治疗组在此基础上加用20％甘露醇250ml静脉点滴,每日2次,5天为一疗程。
Your publication 17th and 18th issue of 1993 published “mannitol in severe heart failure with right heart failure,” the author applied this method from October 1993 to April 1994 admitted to patients with cor pulmonale heart failure in 20 cases Verified, and 18 cases for the control, the results are more satisfactory, are summarized as follows. 1 Clinical data 1.1 General Information According to the diagnosis of the second national Pulmonary Heart Disease Conference in 1977 and the diagnosis of heart failure teaching materials, 38 cases of pulmonary heart disease were randomly divided into treatment group (20 cases) and control group (18 cases). There were 31 cases of grade Ⅳ and 7 cases of grade Ⅲ in heart function. The two groups were similar in disease and age. 1.2 Treatment of 38 patients admitted to hospital were given comprehensive treatment (bed rest, salt, anti-inflammatory, oxygen, expectorant, antispasmodic antiasthmatic, cardiac diuretic, hormones, regulating water and electrolyte balance, the application of respiratory stimulants, etc.). On the basis of the treatment group, the treatment group was given intravenous drip of 20% mannitol 250ml twice daily for 5 days.