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呋塞米联合应用白蛋白治疗难治性心力衰竭30例疗效观察 被引量:3

Curative Effect of 30 Cases of Refractory Heart Failure Treated with Furosemide and Albumin
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摘要 目的观察大剂量呋塞米静脉滴注联合应用清蛋白治疗难治性心力衰竭的疗效及安全性。方法选择难治性心力衰竭经常规抗心力衰竭治疗,无效的住院患者30例,在常规治疗的基础上,给予大剂量呋塞米联合清蛋白静脉滴注,7d为1个疗程。同时监测超声心动图、离子、肾功能等。结果27例患者心力衰竭症状明显改善,体质量明显降低,取得了很好的治疗效果,总有效率达90%。结论大剂量呋塞米静脉滴注联合应用清蛋白治疗难治性心力衰竭疗效及安全性良好,可以显著改善性心力衰竭和利尿剂抵抗。 Objective To observe the curative effect and safety about high-dose intravenous infusion of furosemide combined with albumin to treat refractory heart failure.Methods To select 30 patients in hospital with refractory heart failure who were cured inefficiently by conventional treatment to anti-cardiac failure,based on the conventional treatment,supply high dose intravenous drip of furosemide combined with albumin,7 d as a course of treatment.At the same time to monitor echocardiography,ion and kidney function.Results 27 patients with heart failure improved symptoms significantly,reduced body weight obviously,achieved good treatment effect,the total effective rate was 90%.Conclusion High dose furosemide infusion combined with albumin in the treatment of refractory heart failure had a good curative effect,can significantly improve heart failure and diuretic resistance.
作者 吕仲然
出处 《医学综述》 2010年第9期1440-1440,F0003,共2页 Medical Recapitulate
关键词 大剂量呋塞米 白蛋白 严重心力衰竭 High-dose furosemide Albumin Severe heart failure
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  • 1王方正,张澍,黄德嘉,华伟,孙宝贵,沈法荣,吴书林,王建安,方全,吴立群,王景峰,王冬梅,郭涛,陈新,中华医学会心电生理和起搏分会心脏再同步治疗专家工作组.心脏再同步治疗慢性心力衰竭的建议[J].中华心律失常学杂志,2006,10(2):90-102. 被引量:90
  • 2Rodeheffer PJ,Redfield MM. Congestive heart failure:diagnosis, evaluation,and surgical therapy[J] .Mayo Clin Cardiol Rev,2000,23:55-74.
  • 3Di iorio BR, Scalfi L, Terraciano V, et al. A systemic evaluation of bioelectrical impedence measurement after hemodialysis session [J].Kidney Int, 2004,65: 2435-2440.
  • 4陈世波,姜楞.难治性心力衰竭[A].见:张子彬.充血性心力衰竭学.第3版[M].北京:科学技术文献出版社,2002.631.
  • 5Licata G, Pasquale PD, Parrinello G, et al. Effect of high-dose furosemide and small-volume hypertonic saline solution infusion in comparison with a high dose of furosemide as bolus in refractory congesrive heart failure: long-term effect[J]. Am Heart J,2003, 145:459-466.
  • 6Patema S, Di Pasquale P, Parrinello G. Effect of high-dose furosemide and small-volume hypertonic saline solution infusion in comparison with a high dose of furosemide as bolus in refractory congestive heart failure[J]. Eur J Heart Fail,2000,2:305-313.
  • 7Paterna S, Parrinello G, Amato P, et al. Tolerability and efficacy of high dose furosemide and small-volume hypertonic saline solution in refractory congestive heart failure[J] .Adv Ther, 1999,16:219-228.
  • 8Sageman W, Riffenburgh H, Spiess BD. Equivalence of bioimpedence and thermodilution in measuring cardiac index after cardiac surgery[J] .J Cardiothorac Vasc Anesth,2002,16:8-14.
  • 9Brater DC. Diuretic resistance: mechanisms and therapeutic strategies[J]. Cantiology, 1994,84:57e-57e.
  • 10Cooper BA,Aslani A,Ryan M, et al. Comparing different methods of assessing body composition in end-stage renal failure[J]. Kidney Int,2000,58:408-416.

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  • 1李文英,沈岩.脑出血后脑水肿病理机制研究进展[J].河北医药,2006,28(4):331-332. 被引量:10
  • 2李一石.(10)利尿剂治疗心力衰竭的现状[J].中国循环杂志,2006,21(4):245-248. 被引量:14
  • 3郭静萱,李海燕.慢性心力衰竭的诊治进展[J].中国实用内科杂志,2007,27(1):11-13. 被引量:158
  • 4Lainscak M,Anker SD.Prognostic factors in chronic heart failure.A review of serum biomarkers,metabolic changes,symptoms,and scoring systems.Herz,2009,34 (2):7.
  • 5陈晓云 梁转合 朱可云 等.重组脑钠肽对慢性心力衰竭急性加重期患者的远期疗效[J].中外健康文摘,2011,8(4):185-186.
  • 6美国大学医院联合会.美国医院联合会人血白蛋白、非蛋白胶体及晶体溶液使用指南[D].2000.
  • 7杨甚,李欣.善得定联合白蛋白治疗肝肾综合征的临床观察[J].中国医药指南,2009,7(8):219-220.
  • 8Paolo Angeli, Roberta Volpin, Glogio Gerunda. Reversal of Type 1 Hep- atorenal Syndrome With the Administration of Midodrine and Octreotid [ J ]. Hepatology, 1999,16 (6) : 1690 - 1697.
  • 9Morelli A, Donati A, Ertmer C. Short-term effects of terlipressin bolus infusion on sublingual microcirculatory blood flow during septic shock [ J ]. Intensive Care Medicine,2011,25 (6) : 1502 - 1505.
  • 10马甜,方方.利尿剂抵抗心力衰竭患者26例临床治疗观察[J].现代中西医结合杂志,2009,18(34):4238-4239. 被引量:10

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