老年顽固性心力衰竭患者临床分析

Clinical Observation of Old-aged Refractory Cardia Failure

目的对老年顽固性心力衰竭的疗效进行观察。方法在现有常规治疗的基础上,使用强心利尿剂,观察临床疗效、心率、血压及血流动力学指标的变化。结果32例中28例用药后心悸、气促、端坐呼吸、咳嗽、肺部湿罗音、肝肿大、下肢水肿等心功能不全表现减轻或缓解,其中显效10例(31.2%),有效16例(50.0%),总有效率81.2%,死亡4例。血流动力学指标治疗前后有显著性差异(P<0.01)。结论在常规治疗的基础上,合理而及时地使用强心利尿剂疗效好,不良反应少。

Objective To observe the curative effect of old - age refractoriy cardia failure. Methods Using strong heart diuretic on the foundation of regular method, observe the variety of clinical curative effect, heart rate, blood pressure and the blood dynamics index sign. Results 28 cases of 32 cases have relieved cardiopalmus, accelerated breathing, begma, lung bubble, hepatauxe, edema of lower extremity, etc after using medicine. Excellence were 10 cases （31.2%） , valid were 16 cases（50.0% ） , total efficient rate was 81.2% , death 4 cases. The blood dynamics index sign had shown the significant difference before and affter treatment （ P 〈 0.01 ）. Conclusion On the foundation of conventional therapy, using the strong heart diuretic in time was well.