二尖瓣狭窄(mitral stenosis, MS)引起的急性肺水肿有别于其他心脏病引起的急性左心衰竭,确切地说,应是急性左房衰竭,因此,治疗上有其独特性。我们应用美托洛尔对这一临床病症进行治疗,取得了较好疗效,现报告如下。 1 资料与方法 1.1 一般资料:32例MS并发的急性肺水肿均为住院病人,均合并有快速心房颤动。所有病人经病史、体征、心电图、化验室、胸片及近期超声心动图检查排除风湿活动、缓慢心律失常、明显主动脉瓣、二尖瓣 Acute pulmonary edema caused by mitral stenosis (MS) is distinguished from acute left heart failure caused by other heart diseases, and more precisely, acute left atrial failure and, as a result, is unique in its treatment. We use metoprolol to treat this clinical condition, and achieved good results, are as follows. 1 Materials and Methods 1.1 General Information: 32 cases of acute pulmonary edema complicated by MS were hospitalized patients, both with rapid atrial fibrillation. All patients with history, signs, electrocardiogram, laboratory, chest and recent echocardiography to exclude rheumatic activity, slow arrhythmia, obvious aortic valve, mitral valve