舒张性心力衰竭76例临床分析

目的:探讨舒张性心力衰竭患者的临床诊治。方法:本组舒张性心力衰竭患者根据不同病因给予硝酸酯类、β-受体阻滞剂、钙通道阻滞剂、ACEI/ARB、小剂量螺内酯治疗。结果:经治疗,所有患者均治愈出院。结论:舒张性心力衰竭治疗原则以缓解症状,阻止或延缓心室重塑,降低病死率为主。减轻肺瘀血,用静脉扩张剂硝酸酯类药物及利尿剂;用β阻滞剂,纠正心动过速,改善左室充盈状况,增加心排血量;祛除引起心衰的因素如控制血压、改善心肌缺血;DHF时因其LVEF基本正常,故洋地黄类正性肌力药物一般不用,若有左心力衰竭导致肺水肿时,可短期谨慎应用。

Objective：To investigate the clinical diagnosis and treatment of diastolic heart failure patients.Methods：For this group of patients with diastolic heart failure according to different cause of nitrates,beta receptor blockers,calcium channel blockers,ACEI/ARB,small doses of spironolactone therapy.Results：after treatment,all the patients were cured and discharged.Conclusion：the treatment of diastolic heart failure principle to alleviate symptoms,prevent or delay the progression of ventricular remodeling,decrease the mortality rate mainly.Attenuates pulmonary congestion,with intravenous vasodilators nitrates and diuretics;with beta-blockers,correcting the heartbeat rate,improvement of left ventricular filling condition,increased cardiac output;removal cause heart failure factors such as control of blood pressure,improving myocardial ischemia;DHF because of its LVEF basically normal,so the digitalis positive inotropic drugs no,if left heart failure leading to pulmonary edema,but short-term cautious application.