正性肌力药物的选择使用与争议

Selection,use and controversy of inotropic agents

正性肌力药物较为普遍地应用于各种心力衰竭与休克，本文对洋地黄类药物、儿茶酚胺类药物、磷酸二酯酶抑制剂、钙增敏剂及新型正性肌力药物的作用机制、使用与争议进行评述，旨在指导临床更好地合理选择和应用正性肌力药物。

Inotropic agents used widely in heart failure and shock.The mechanism,use and contro-versy of digitalis,catecholamines,phosphodiesterase inhibitors,calcium sensitizer and new inotropics are reviewed,in order to guide appropriate selection and application of inotropics in clinics.