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我院近年来,对肺心病心衰病人常规使用强心剂利尿剂抗感染及血管扩张剂等治疗一周后而心衰无明显改善,水肿明显,尿量较少的病人加用酚妥拉明、20％甘露醇治疗后,心功能明显改善,无特殊不良反应,现报告如下: 一、临床资料 男28例,女12例,年龄56～76岁,平均57.2岁,所有患者均符合1980年全国第三次肺心病专业会议所修订标准。均为急性加重期住院病人,心衰Ⅲ度。 二、治疗方法 1.选择有效抗菌素并辅以平喘、祛痰、强心、利尿、吸氧等综合治疗。如经上述处理无改善者用酚妥拉明10～20毫克加入5％葡萄糖250～500毫升中以10～
In our hospital in recent years, heart failure patients with pulmonary heart disease routine use of cardiac tonic diuretics anti-infective and vasodilators and other treatment after a week without significant improvement in heart failure, edema, less urine output of patients with phentolamine, 20 % Mannitol after treatment, cardiac function improved significantly, no special adverse reactions, are as follows: First, the clinical data of 28 males and 12 females, aged 56 to 76 years, mean 57.2 years, all patients are in line with the 1980 National Third session of the professional standards of pulmonary heart disease revised. Are acute exacerbation of hospitalized patients, heart failure Ⅲ degree. Second, treatment 1. Choose effective antibiotics and combined with asthma, expectorant, cardiac, diuretic, oxygen and other comprehensive treatment. If no improvement after the above treatment with phentolamine 10 to 20 mg of 5% glucose 250 to 500 ml of 10 ~