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目的了解巯甲丙脯酸治疗高原藏族充血性心力衰竭(CHF)疗效。方法 20例藏族充血性心力衰竭病人巯甲丙脯酸25 mg,每日2次,第2天开始无不良反应者改为巯甲丙脯酸25 mg,每日3次,用药后观察心率、心律、血压及日尿量结果。结果临床症状明显改善,发绀及颈静脉努张减轻或消失,肝脏明显缩小,心脏明显缩小,双下肢浮肿减轻或消失,心衰控制后停药。结论本文20例均用血管紧张素转换酶抑制剂(ACEI)巯甲丙脯酸治疗高原藏族 CHF 患者取得满意的疗效,有效率达95%。
Objective To investigate the efficacy of captopril in the treatment of Tibetan patients with congestive heart failure (CHF). Methods 20 patients with congestive heart failure in patients with captopril 25 mg, 2 times a day, beginning on the second day without adverse reactions were changed to captopril 25 mg, 3 times daily after treatment, observed heart rate, Heart rate, blood pressure and urine output. Results The clinical symptoms were significantly improved. Cyanosis and jugular vein hypertrophy were relieved or disappeared, the liver was significantly reduced, the heart was significantly reduced, the edema of both lower limbs was reduced or disappeared, and the heart failure was stopped after the control of heart failure. Conclusion All 20 patients with angiotensin converting enzyme inhibitor (ACEI) captopril treatment of Tibetan Plateau Tibetan patients with satisfactory results, the effective rate was 95%.