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某些严重慢性心功能不全患者,应用标准治疗措施,包括休息,低盐饮食,洋地黄和利尿剂,不能改善其充血性心力衰竭状态。这些患者对治疗无反应,称之为难治性或顽固性慢性心力衰竭。为此:对此病寻求成功的措施,一直是临床家们研讨的重要课题。自1957年 Gutner 氏用 Predni-sone 治疗充血性心衰取得良好效果后,国内外许多学者先后用于临床治疗。陈星正等用肾上腺皮质激素治疗难治性心衰40例,有效率占87.5%,11例第二天开始大量利尿,21例4～7天利尿,二个月内大部分可获疗效,认为皮质激素似主要通过恢复和增强机体对洋地黄和利尿剂的敏感性而产生疗效。肾上腺皮质激素在某些顽
In some patients with severe chronic heart failure, standard treatment measures, including rest, low-salt diet, digitalis and diuretics, do not improve their congestive heart failure status. These patients do not respond to treatment, called refractory or refractory chronic heart failure. To this end: the success of the disease measures, clinicians have been an important issue for discussion. Since 1957 Gutner’s treatment of congestive heart failure with Predni-sone achieved good results, many scholars at home and abroad have been used for clinical treatment. Chen Xing is treated with adrenal hormone refractory heart failure in 40 cases, the effective rate accounted for 87.5%, 11 cases began the next day a large number of diuresis, 21 cases 4 to 7 days diuretic, most of the two months can be treated, that the cortex Hormones appear to work primarily to restore and enhance the body’s sensitivity to digitalis and diuretics. Cortina in some stubborn