微量泵静脉泵入呋塞米治疗难治性心力衰竭效果观察及护理

Treatment and Nursing of Refractory Heart Failure by Intravenously Injecting Furosemide Using Micro Pump

目的:探讨持续微量泵泵入呋塞米治疗难治性心力衰竭的效果及临床护理。方法:将114例NYHA心功能IV患者随机均分为两组,给予呋塞米40～100mg/次静脉注射,以后继之10～40mg/h持续静脉泵入,每日最大剂量960mg,持续4～6天。静注组单剂量最高剂量为200mg,日最大剂量为960mg,连续4天。观察患者水肿消退、尿量及心功能等情况。结果:泵入组每日尿量明显大于静注组,心功能改善情况明显优于静注组。结论:静脉泵入呋塞米是治疗难治性心力衰竭最理想的选择,为患者提供精心护理是促进患者康复的重要保证。

Objectives：To discuss the treatment and clinical nursing of refractory heart failure by intravenously injecting furosemide using micro pump.Methods：114 patients with NYHA heart function class IV were divided into two groups：without using micro pump group （intravenous administration furosemide 40～100mg and then continous intravenously injecting furosemide 10～40mg/h,dose not more than 960mg in one day,continuous application for 4～6 days） and using micro pump group （intravenous administration furosemide 40～200mg and dose not more than 960mg in one day,continuous application for 4 days）.Edema condition,urine volume,heart function were recorded.Results：Compared with patients who without using micro pump,the patients using micro pump showed more urine volume everyday and can more improve heart function.Conclusion：Treating the refractory heart failure patients by intravenously injecting furosemide using micro pump is one of the best treatments,and an careful nursing take an important role in healing.