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作者评价了多巴胺-多巴酚丁胺联合静滴治疗心源性休克的疗效,并观察到其能防止单独应用一种拟交感神经胺类药物所产生的不良反应。观察对象为心源性休克伴肺水肿患者8例,应用利尿剂、洋地黄或血管扩张剂疗效差或无效,而需持续应用机械呼吸(间歇正压呼吸)。平均年龄65岁,休克前心衰Ⅲ或Ⅳ级。4例冠心病,4例为特发性心肌病。其中3例伴有慢性心房颤动。机械呼吸的次日作血液动力学检测,插入Swan-Ganz导管,用热稀释法测定心排量,检测右房压、平均肺动脉压、肺毛细血管楔压(PCWP)、平均动脉压(MAP)。计算出心脏指数
The authors evaluated the efficacy of dopamine-dobutamine in combination with intravenous drip in the treatment of cardiogenic shock and observed that it prevented the adverse effects of a sympathomimetic drug alone. Observe the object of cardiogenic shock patients with pulmonary edema in 8 cases, the application of diuretics, digitalis or vasodilators poor or ineffective, and the need to continue the use of mechanical breathing (intermittent positive pressure breathing). The average age was 65 years old, before heart failure Ⅲ or Ⅳ grade. 4 cases of coronary heart disease, 4 cases of idiopathic cardiomyopathy. Three of them were accompanied by chronic atrial fibrillation. The second day after mechanical respiration, hemodynamic tests were performed. The Swan-Ganz catheter was inserted. The cardiac output was measured by thermodilution. The right atrial pressure, mean pulmonary arterial pressure, pulmonary capillary wedge pressure (PCWP), mean arterial pressure (MAP) . Calculate the heart index