持续泵入小剂量多巴胺联合速尿治疗难治性心力衰竭  

Continuous infusion of low dose dopamine and furosemide to treat refractory heart failure

作　　者：巩贵宏[1] 张继文[1] 

机构地区：[1]河南大学第一附属医院心内科,河南开封475001

出　　处：《吉林医学》2010年第31期5539-5540,共2页Jilin Medical Journal

摘　　要：目的:探讨持续小剂量多巴胺泵入联合速尿治疗难治性心衰的疗效。方法:选择难治性心衰住院患者35例,心功能Ⅲ～Ⅳ级,入院后在强心、扩血管等常规治疗的基础上加用多巴胺,从1μg/(kg.min)开始泵入,根据血压调整用量,联合静脉注射速尿,每日两次。结果:显著疗效13例,有效20例,无效2例,总有效率94.2%。结论:多巴胺小剂量泵入联合速尿治疗顽固性心衰有效。Objective To explore effect about sustainable pumping into low dose of dopamine combined the furosemide in the treatment of refractory heart failure.Method Selected 35 cases of hospitalized patients with refractory heart failure,cardiac function grade Ⅲ ~ Ⅳ after admission on the basis of conventional therapy,dopamine from 1 μg/（kg·min）started pumping,adjusted the dosage according to blood pressure.Results For 13 cases were markedly effective,effective in 20 cases and ineffective in 2 cases.The total effective rate was 94.8%.Conclusion It is effective to treat refractory heart failure with low dose pumping into dopamine combined with furosemide.

关 键 词：难治性心衰 多巴胺 微量泵 速尿 联合治疗 

分 类 号：R541.6[医药卫生—心血管疾病]