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目的探讨不同剂量呋塞米治疗急性心力衰竭的临床效果,总结呋塞米的临床最佳剂量.方法58例心功能Ⅲ~Ⅵ级的急性心力衰竭患者,随机分为静滴组和静注组,分别实施小剂量和大剂量呋塞米治疗,2周后对比两组患者临床效果.结果 2周治疗后,两组患者各项心功能指数对比,静滴组的临床效果更佳,且对肾功能影响不明显.差异都具有统计学意义( P<0.05).结论呋塞米治疗急性心力衰竭应小剂量静脉滴注,临床疗效好.“,”Objective:Investigate the clinical effects of different doses of furosemide in the treatment of acute heart failure, and summarizes the best clinical dose furosemide. Methods: Patients with acute heart failure, 58 cases of heart function Ⅲ ~ Ⅵ were randomly divided into the intravenous group and the injection group, namely the implementation of a smal dose and high-dose furosemide therapy, two weeks after comparing the two groups of patients with clinical effects.Results: Two weeks after treatment, the two groups of patients with various cardiac function index contrast, better clinical effect of intravenous infusion group, and no significant effect on renal function. The difference was statisticaly significant (P<0.05). Conclusions: Furosemide in the treatment of acute heart failure should be a smal dose of intravenous infusion, and clinical efficacy.