肝素 酚妥拉明与多巴胺联合治疗肺心病合并心力衰竭80例疗效观察

Curative Analysis on Heart Failure due to Pulmonary Heart Disease Treated with Heparin, Phenolamine and Dopamine

目的 验证肝素、酚妥拉明与多巴胺联合应用 ,对肺心病心力衰竭 (心衰 )的疗效。方法 选择 80例肺心病心衰患者 ,在吸氧、祛痰等基础上用肝素 10 0mg、酚妥拉明 10mg、多巴胺 2 0mg溶于 5 %葡萄糖 5 0 0mL中静点 ,1次 /d ,7～ 10d为 1个疗程 ;另选 6 4例相同病例 ,采用基础治疗加强心利尿措施 ,做为对照组。结果 观察组总有效率 91 2 % ,而对照组为 79 6 %。结论 肝素、酚妥拉明与多巴胺联用治疗肺心病疗效理想。

Objective To assess the curative effect of heart failure due to pulmonary heart disease (PHD) treated with heparin, phenolamine and dopamine. Methods 80 PHD patients with heart failure were treated with heparin, phenolamine and dopamine for 7～10 d as a course every day on the bases of routine therapy. Other 64 cases were treated with routine therapy as control group. Results The total effective rate were 91.2% in therapy group and 79.6% in control group. Conclusion The combination use of heparin, phenolamine and dopamine could achieve the ideal curative effect for PHD with HF.