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目的:探讨美托洛尔及厄贝沙坦氢氯噻嗪治疗急诊内科老年重症心力衰竭的临床疗效。方法:收治老年重症心力衰竭患者60例,随机分成观察组和对照组,对照组采用利尿剂、强心剂与硝普钠治疗,观察组在对照组的基础上加用美托洛尔和厄贝沙坦氢氯噻嗪,比较两组的治疗效果。结果:治疗后,观察者心功能状况、左室射血分数和总有效率均明显优于对照组(P<0.05)。结论:美托洛尔及厄贝沙坦氢氯噻嗪治疗急诊内科老年重症心力衰竭的临床疗效显著。“,”Objective:To explore the clinical curative effect of metoprolol and irbesartan and hydrochlorothiazide in the treatment of elderly patients with severe heart failure in emergency internal medicine.Methods:60 elderly patients with severe heart failure were selected.They were randomly divided into the observation group and the control group.The control group was treated with diuretics,cardiac stimulant and sodium nitroprusside.The observation group added metoprolol and irbesartan and hydrochlorothiazide on the basis of the control group.We compared the treatment effect of two groups.Results:After treatment,in the observation group,the cardiac function,left ventricular ejection fraction and total effective rate were significantly better than those of the control group(P<0.05).Conclusion:The clinical curative effect of metoprolol and irbesartan and hydrochlorothiazide in the treatment of elderly patients with severe heart failure in emergency internal medicine was significant.