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应用洋地黄治疗充血性心力衰竭一直存在争论,(1)在临床上进行药效评价时,能够满足严格评价标准的资料不足;(2)对急性心力衰竭病人,短期给予洋地黄所产生的血液动力学改变不可靠;(3)没有证据说明洋地黄可以延长寿命;(4)停用洋地黄时,特别是在窦性心律的病人身上产生的反应是多种多样的;(5)地高辛毒性作用的发生率尽管比洋地黄毒甙低,但还是高的,特别在老年人。然而,洋地黄和其它一些药物治疗心力衰竭能改善病人的预后和心室功能。因此洋地黄
There has been controversy over the use of digitalis in the treatment of congestive heart failure. (1) Insufficient data to meet rigorous evaluation criteria in the clinical evaluation of pharmacological effects. (2) In patients with acute heart failure, short-term administration of blood produced by digitalis Kinetic changes are unreliable; (3) there is no evidence that digitalis prolongs lifespan; (4) the response to digitalis discontinuation, particularly in patients with sinus rhythm, is varied; The incidence of syphilitic effects, although lower than that of digoxigenin, is still high, especially in the elderly. However, digitalis and other drugs to treat heart failure can improve the patient’s prognosis and ventricular function. So digitalis