论文部分内容阅读
我们对30例慢性心功能不全的病人应用氨力农(江苏宝应制药厂)治疗,通过对心率、血压、心脏指数及临床表现的观察,了解氨力农的临床疗效,现小结如下。 1 资料与方法 1.1 病例选择 选用1993年1～4月住院病人30例,男24例,女6例,年龄在50～81岁,平均年龄62.4岁;按心功能分级(NYHA)Ⅳ级6例,Ⅲ级18例,Ⅱ级6例;其中冠心病11例,肺心病17例,充血性心肌病2例,除外合并明显的心瓣膜病变,严重心律失常和肝肾功能不全病例。 1.2 用药方法 氨力农50mg加入20mlNS中静推,继用100mg加入250mlNS中静滴,10天为一疗程。用药期间停用洋地黄类及血管扩张剂,仅部分心功能Ⅳ级患者可小剂量应用,但治疗开始前24小时停用,一般治疗未作限制。
We use 30 cases of chronic heart failure patients with ammonia force (Jiangsu Baoying Pharmaceutical Factory) treatment, through the heart rate, blood pressure, cardiac index and clinical manifestations of the clinical understanding of the effect of ammonia force, are summarized as follows. 1 Materials and Methods 1.1 Case Selection From January 1993 to April 30 inpatients, 24 males and 6 females, aged 50 to 81 years, mean age 62.4 years; according to cardiac function grade (NYHA) Ⅳ grade 6 cases 18 cases of grade Ⅲ and 6 cases of grade Ⅱ. Among them, 11 cases were coronary heart disease, 17 cases were pulmonary heart disease, 2 cases were congestive cardiomyopathy, with the exception of obvious valvular heart disease, severe arrhythmia and liver and kidney dysfunction. 1.2 Drugs Ammonia 50mg added 20mlNS static push, followed by 100mg added 250mlNS intravenous infusion, 10 days for a course of treatment. Medication disabled during the class of digitalis and vasodilators, only some patients with grade Ⅳ cardiac function can be used in small doses, but the treatment of 24 hours before the start of deactivation, the general treatment is not limited.