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有浮肿表现的肺心病病人在控制感染、扩张气道及给氧的基础上使用利尿药物,往往收到良好效果。但若利尿过快过急,又可发生血液浓缩、痰液变稠及电解质紊乱致病情加重,甚而致死,确应引起重视。我科自1974年11月至1975年4月对14例肺心病患者,应用快速利尿治疗。男7例,女7例。年龄在40～70岁之间。均有肺内感染、颈静脉怒张、肝肿大及浮肿等体征。治疗均以控制感染,扩张气道,吸氧及强心的同时利尿。利尿药为双氢克尿塞和氨苯喋陡。利尿效果不佳时,间断用速尿20～80mg不等。用药后,13例在一周内浮肿消退,其中7例在4天内消退。可见三药同用利尿是快的。但是,病人机体内钾、钠等离子丢失较多(6
Patients with pulmonary heart disease with edema tend to receive good results using diuretics on the basis of infection control, airway expansion, and oxygenation. However, if the diuresis too fast too fast, blood concentration can occur, thickening of sputum and electrolyte disorders aggravating the disease, and even death, indeed, should pay attention. Our department from November 1974 to April 1975 on 14 cases of pulmonary heart disease patients, the application of rapid diuretic treatment. 7 males and 7 females. The age of 40 to 70 years old. Have pulmonary infection, jugular vein engorgement, hepatomegaly and edema and other signs. Treatment are to control infection, expansion of airways, oxygen and cardiac and diuretic. Diuretics for hydrochlorothiazide and diammonium steep. Diuretic ineffective, intermittent furosemide 20 ~ 80mg range. After treatment, edema subsided in 13 cases in one week, of which 7 subsided within 4 days. Three drugs can be seen with diuresis is fast. However, the patient’s body potassium, sodium plasma loss more (6