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自1981年3月至1985年12月我们使用酚妥拉明治疗顽固性心衰81例,疗效较为满意,现小结如下: 临床资料1.男39例,女42例。年龄15～76岁,其中高血压性心脏病20例;风心病24例(其中二尖瓣狭窄并关闭不全16例,风湿性联合瓣膜病变7例,单纯性二尖瓣狭窄1例);慢性肺源性心脏病21例;原发性充血型心肌病15例;梅毒性心脏病主动脉关闭不全1例。2.诊断标准:上述病例中均有慢性充血性心衰的临床表现,症状持续且应用常规洽疗(休息、饮食、抗感染,洋地黄和利尿剂使用)不能改善其它充血性心衰状态者。3.使用方法:在积极治疗原发病,抗感染、纠正酸硷平衡失调和电解质紊乱,适当使用
From March 1981 to December 1985 we use phentolamine treatment of refractory heart failure in 81 cases, the effect is more satisfactory, are summarized as follows: Clinical data 1. Male 39 cases, 42 females. Aged 15-76 years old, of which 20 cases of hypertensive heart disease; rheumatic heart disease in 24 cases (including mitral stenosis and incomplete closure in 16 cases, rheumatic valvular disease in 7 cases, simple mitral stenosis in 1 case); chronic 21 cases of pulmonary heart disease; 15 cases of primary congestive cardiomyopathy; 1 case of syphilitic heart disease with aortic insufficiency. 2. Diagnostic criteria: All of the above cases had clinical manifestations of chronic congestive heart failure. Persistent symptoms and improvement in other congestive heart failure conditions (routine rest, diet, anti-infective, digitalis and diuretic use) . 3. Usage: In the active treatment of the primary disease, anti-infection, to correct acid-base balance disorders and electrolyte disorders, the proper use of