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急性心肌梗死后若出现左室功能障碍,治疗极为困难。此时毛地黄类无效,动物实验提示反可使心肌缺血区增加。本文研究了急性心肌梗死时,酚妥拉明的血液动力学作用及其临床应用。对13例由病史、心电图及实验室检查诊断为急性心肌梗死的病人(女3例、男10例,年龄42～73岁)。在症状出现的48小时内,进行了14次研究(其中1例在有肺动脉淤血时和缓解后各进行了一次)。2例是在心源性休克时进行检查。
If left ventricular dysfunction occurs after acute myocardial infarction, treatment is extremely difficult. At this time Foxglove invalid, animal experiments suggest that anti-myocardial ischemia can increase. This article studies the hemodynamic effects of phentolamine and its clinical utility in acute myocardial infarction. Thirteen patients (3 males and 10 males, aged 42-73 years) were diagnosed as acute myocardial infarction by history, electrocardiogram and laboratory tests. Within 48 hours of onset of symptoms, 14 studies were performed (one of these was performed once with pulmonary congestion and one after remission). Two patients were examined during cardiogenic shock.