大剂量呋塞米持续静脉泵入治疗重度心衰临床疗效观察  

Clinical observation on the continuous intravenous infusion of high-dose furosemide in Severe heart failure

作　　者：席连英[1] 田军[1] 陈东方[1] 刘琴[1] 陆保凤[1] 

机构地区：[1]湖北房县人民医院心内科,湖北十堰442100

出　　处：《实用临床医药杂志》2011年第13期99-100,共2页Journal of Clinical Medicine in Practice

摘　　要：目的观察大剂量呋塞米持续静脉泵入治疗重度心衰的临床疗效及安全性。方法选择Ⅳ级以上重度心衰患者60例,随机分成治疗组和观察组各30例。治疗组给予呋塞米静脉推注加持续静脉泵入呋塞米,对照组每日2次常规静脉推注呋塞米,于治疗前后观察两组治疗变化。结果两组患者治疗后气促症状均改善,外用水肿均消退。治疗组低血压及低血钾发生率均较对照组低,住院周期较对照组短。结论持续静脉泵入大剂量呋塞米治疗重症心衰是一种安全有效的治疗方法,且可缩短患者住院时间。Objective Observe the clinical curative effective and security on continuous intravenous infusion of high-dose furosemide in Severe heart failure.Methods 60 Severe heart failure patients were randomly divided into the remedial group and the control group,30 cases in each.The treatment group was given intravenous injection of furosemide plus continuous intravenous infusion of furosemide,and the control group received intravenous injection of furosemide 2 times a day,the effectiveness of treatment was observed before and after remedy.Results Compared with those before treatment,the edema subsided and shortness of breath showed virtually identical improvement,low blood pressure and low potassium in treatment group,Patients in the remedy group had a shorter hospital stay period than control group.Conclusion High-dose furosemide continuous intravenous pump is a safety and effective method in Severe heart failure,and could shorten the period of hospitalization.

关 键 词：呋塞米 静脉泵入 重度心力衰竭 疗效 

分 类 号：R541.6[医药卫生—心血管疾病]