中国医学装备Issue(4)：77-79,3.DOI:10.3969/J.ISSN.1672-8270.2015.04.025
硝普钠与多巴胺微泵治疗顽固性心衰的疗效观察
Effect observation of sodium nitroprusside and dopamine injected by micro pump for ;the treatment of refractory heart failure
苏素缺 1赵淑静 1李伟刚1
作者信息
- 1. 廊坊市第四人民医院心内科 河北 廊坊 065700
- 折叠
摘要
Abstract
Objective: To observe the clinical effect of sodium nitroprusside and dopamine injected by micro pump for the treatment of refractory heart failure. Methods:One hundred and six cases of patients with refractory heart failure were chosen as the research object, which were cardiac functionⅢ~Ⅳlevel. All patients were treated with sodium nitroprusside and dopamine injected by micro pump. Starting dose of sodium nitroprusside was 6.25 μg/min. At same time pumping dopamine, starting dose of 2 g/kg·min, the dose was increased gradually until blood pressure dropped to 90~100 mm Hg, continuous 7~10 d, the signs and symptoms after treatment and parameters of cardiac function and adverse reactions were observed. Results: 1)In 106 cases of patients with refractory heart failure after treatment, the total effective rate 85.85%(91/106). 2)The heart rate, blood pressure, cardiothoracic ratio, left ventricular short axis reduced rate,cardiac output, each index of cardiac,indexes of left ventricular ejection fraction were improved significantly after treatment. Conclusion:The clinical effect for the treatment of refractory heart failure by using the micro pump injection of small doses of sodium nitroprusside combined dopamine would be obvious, have less adverse reactions, worthy of clinical popularization and application.关键词
硝普钠/多巴胺/微量泵/顽固性心衰Key words
Sodium nitroprusside/Dopamine/Micro pump/Refractory heart failure分类
医药卫生引用本文复制引用
苏素缺,赵淑静,李伟刚..硝普钠与多巴胺微泵治疗顽固性心衰的疗效观察[J].中国医学装备,2015,(4):77-79,3.
