米力农治疗缩窄性心包炎术后低心排综合征的疗效分析  

Analysis of Curative Effect of Milrinone in Treatment of Low Cardiac Output Syndrome after the Constrictive Pericarditis Operation

作　　者：危云辉 王林金 

机构地区：[1]广西龙潭医院心胸外科,广西柳州545005

出　　处：《中外医疗》2017年第4期117-119,共3页China & Foreign Medical Treatment

摘　　要：目的探讨米力农治疗缩窄性心包炎术后低心排综合征的疗效。方法方便收集该院2012年1月—2016年6月收治的15例缩窄性心包炎并行心包剥脱术,且术后发生低心排综合征均采用常规强心、升血压、呼吸机辅助呼吸等处理后患者心率、血压未见好转,加用米力农负荷量为50μg/kg,维持剂量为0.5μg/(kg·min)速度以输液泵静脉注射,全天总量不超过1.1 mg/kg,疗程2~5 d,分析患者加用米力农治疗前后的血压、心率、停呼吸机等临床指标。结果米力农的临床有效率为87%,对低心排综合征有明显疗效,且未见明显不良反应发生。结论米力农治疗缩窄性心包炎术后低心排综合征安全、有效。Objective To observe the curative effect of milrinone in treatment of low cardiac output syndrome after the constrictive pericarditis operation. Methods Convenient selection 15 cases of patients with constrictive pericarditis and pericardiectomy admitted and treated in our hospital from January 2012 to June 2016 were selected and the heart rate and blood pressure of patients were not improved after adopting the routine Cardiac, hypertensive and breathing machine ventilatory support, and the milrinone load capacity was 50 μg/kg, and the speed of infusion pump intravenous injection was 0.5 μg/（kg·min）,and the all-day total amount was not more than 1.13 mg/kg, and the treatment course was from 2 to 5 days, and the blood pressure, heart rate and breathing machine stopping and other clinical indexes before and after treatment were analyzed.Results The clinical effective rate of milrinone was 87%, and the curative effect of milrinone for low cardiac output syndrome is obvious, and there were no obvious adverse reactions. Conclusion Milrinone in treatment of low cardiac output syndrome after the constrictive pericarditis operation is safe and effective.

关 键 词：缩窄性心包炎 米力农 低心排综合征 

分 类 号：R542.11[医药卫生—心血管疾病]