【摘 要】
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目的观察卡维地洛(carvedilol)治疗儿童慢性充血性心力衰竭的临床疗效,探讨治疗剂量及安全性,同时对比观察与美托洛尔(metoprolol)临床疗效的不同。方法将90例慢性充血性心力衰竭
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目的观察卡维地洛(carvedilol)治疗儿童慢性充血性心力衰竭的临床疗效,探讨治疗剂量及安全性,同时对比观察与美托洛尔(metoprolol)临床疗效的不同。方法将90例慢性充血性心力衰竭患儿随机分为常规组(30例)、美托洛尔组(28例)和卡维地洛组(32例),均给予常规抗心力衰竭治疗(洋地黄、利尿剂、血管扩张药),美托洛尔组在常规治疗基础上同时加用美托洛尔治疗,卡维地洛组在常规治疗基础上同时加用卡维地洛治疗。治疗前和治疗后6个月记录三组患儿心率变化,X线胸片测心胸比率(CTR),彩色多普勒超声仪测心
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