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本组38例慢性肺原性心脏病(以下称肺心病——Ccr pulmonale)难治性心衰(Refrectoryhearl failure,RHF)病例是指:①病症本身较重,如明显紫绀、神志不清、昏迷或SaO_2(氧饱和度)<60％,PaO_2(氧分压)<30～40mmHg,PaCO_2(二氧化碳分压)>80mmHg者。②经一般休息、限盐、强心,利尿、抗感染和改善呼吸等常规抗心衰治疗无效者。③支气管哮喘用氨茶碱治疗无效者。④伴声较重的并发症或夹杂症者,如高血压、冠心病等。我们加用多巴胺、山茛菪碱取得满意效果,现总结报告如下:
This group of 38 patients with chronic pulmonary heart disease (hereinafter referred to as pulmonary heart disease - Ccr pulmonale Refractory heart failure (Refrectoryhearl failure, RHF) cases refer to: ① illness itself heavier, such as obvious cyanosis, confusion, coma Or SaO_2 (oxygen saturation) <60%, PaO_2 (oxygen partial pressure) <30-40 mmHg, PaCO_2 (carbon dioxide partial pressure)> 80mmHg. ② After the general rest, salt restriction, cardiac, diuretic, anti-infective and improve breathing and other conventional anti-heart failure treatment ineffective. Bronchial asthma treatment with aminophylline invalid. ④ accompanied by severe complication or complications, such as hypertension, coronary heart disease. We add dopamine, anisodamine achieved satisfactory results, are summarized as follows: