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米力农治疗急性心肌梗死后心力衰竭的疗效观察 被引量:21

Therapeutic Effect of Milrinone on Heart Failure after Acute Myocardial Infarction
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摘要 目的探讨米力农治疗急性心肌梗死后心力衰竭的效果与安全性.方法 28例急性心肌梗死后出现心力衰竭的患者入院后接受米力农(剂量为0.375~0.75mg/(kg.d)治疗2~4d,治疗前后利用彩色多普勒心脏超声诊断仪评估患者的心功能.结果米力农治疗后患者的心指数和射血分数显著增加,分别为(2.3±0.5)vs(2.7±0.6)L/(min.m2)和(35±6)%vs(43±4)%,P<0.05,未观察到严重的副反应的发生.结论米力农能有效地治疗急性心肌梗死后心力衰竭。 Objective To investigate the therapeutic effect and safety of milrinone in treatment of acute myocardial infarction(AM)I patients with severe heart failure.Methods Twenty-eight AMI patients with severe heart failure received intravenous milrinone therapy for 2~4 days [0.375~0.75 mg/(kg.d)].All patients' cardiac function was measured by echocardiography before and after the therapy.Results Compared with baseline values,the cardiac index and ejection fraction were significantly increased from 2.3±0.5 to 2.7±0.6L/(min.m2)(P〈0.05) and 35±6 to 43±4%(P〈0.05) respectively after milrinone therapy.No any severe side effects were observed.Conclusion Milrinone is effective and safe in treatment of AMI patients with severe heart failure.
出处 《昆明医学院学报》 2010年第8期124-126,共3页 Journal of Kunming Medical College
关键词 米力农 急性心肌梗死 心力衰竭 Milrinone Acute myocardial infarction Heart failure
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