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近年我们应用小剂量多巴胺与门冬氨酸钾镁静脉滴注治疗肺心病难治性心衰18例,获得一定疗效,现报道如下。 1 临床资料 1.1 一般资料 本组18例均符合1982年修订的全国肺心病标准及内科学教材心衰的诊断。所有病例均为经严格卧床休息、吸氧、限盐、控制呼吸道感染、改善呼吸功能、应用洋地黄、利尿剂及激素等治疗无效者。18例中男11例,女7例,年龄42～79岁.平均65.4岁。并发洋地黄中毒性室性早搏2例,快速房颤4例.Ⅰ度及Ⅱ度Ⅰ型房室传导阻滞各1例。 1.2 治疗方法 在继续加强控制呼吸道感染、改善呼吸功能基础上,停用洋地黄、激素和利尿剂,给予多巴胺20～40mg、门冬氨酸钾镁20～30ml加入5％葡萄糖500ml中静滴,每分钟30～40滴,每日一次,5～7天为一疗程。
In recent years, we use small doses of dopamine and potassium aspartate intravenous infusion of potassium in refractory heart failure of pulmonary heart disease in 18 cases, to obtain a certain effect, are reported below. 1 Clinical data 1.1 General Information The group of 18 patients were in line with the 1982 revision of the national standard of pulmonary heart disease and medical textbook diagnosis of heart failure. All cases were strictly bed rest, oxygen, salt, respiratory infection control, improve respiratory function, the application of digitalis, diuretics and hormones and other treatment ineffective. There were 11 males and 7 females in 18 cases, ranging in age from 42 to 79 with an average of 65.4 years old. Two cases of digitalis toxicity of ventricular premature beats, fast atrial fibrillation in 4. Ⅰ degree and Ⅱ degree Ⅰ type atrioventricular block in 1 case. 1.2 treatment continue to strengthen control of respiratory infections, improve respiratory function, based on the disabled digitalis, hormones and diuretics, given dopamine 20 ~ 40mg, potassium and magnesium aspartate 20 ~ 30ml added 5% glucose 500ml in intravenous infusion, 30 to 40 drops per minute, once daily, 5 to 7 days for a course of treatment.