强心利尿合剂与肝素治疗慢性肺心病急性期46例  

Clinical effects of cardiac strengthen diuretic mixture combined with heparin in the treatment of acute phase of chronic cor pulmonale．

作　　者：李建平 沈培南 麦炜颐[2] 曾群英[2] 

机构地区：[1]广东惠东县人民医院,516300 [2]中山医科大学附属第一医院心内科,510080

出　　处：《新医学》2000年第3期149-150,153,共3页Journal of New Medicine

摘　　要：目的: 探讨强心利尿合剂与肝素联用治疗肺源性心脏病（肺心病）的临床疗效。方法: 全部病人采用基础治疗措施如氧疗、改善通气、控制感染等。治疗组46例联用强心利尿合剂与肝素；对照组49例采用洋地黄、利尿药及硝酸甘油等常规方案。经过7日至10日比较两者疗效。结果: 治疗组显效率为59％，总有效率为91％；对照组则为显效率39％，总有效率74％，两者有统计学显著性差异。结论: 治疗组方法可以改善肺心病的血液微循环障碍，降低肺动脉高压，改善心、肺功能。Objective: To investigate the effects of cardiac strengthen－diuretic mixture combined with heparin in the treatment of acute phase of chronic cor pulmonale． Methods: 95 cases were randomly assigned into tested n ＝46 and control groupn ＝49． Besides routine therapy such as oxygen therapy, ventilation improvement and administration of antibiotics, patients in the tested group were treated with cardiac strengthen－diuretic mixture and heparin, while subjects in the control group were treated with digitalis, diuretics and nitroglycerin． Results: After 7 to 10 days of treatment, the highly effective rates of two groups were 59％ and 39％, and total effective rates were 91％ and 74％ respectively． There was significant difference between the two groups． Conclusion: cardiac strengthen－diuretic mixture combined with heparin can improve the microcirculation and lower the pulmonary artery pressure and improve heart and lung function．

关 键 词：肺心病 强心利尿合剂 肝素 药物疗法 

分 类 号：R541.5[医药卫生—心血管疾病]