肺心病伴顽固性心力衰竭的临床治疗体会

Clinical experience in treating pulmonary heart disease with intractable heart failure

目的:探讨肺心病伴顽固性心力衰竭的临床治疗体会。方法:2008年1月-2013年1月收治肺心病伴顽固性心力衰患者172例,回顾性分析临床治疗。在综合治疗基础上,分为两组分别加用培哚普利和酚妥拉明,探讨临床治疗效果,分析总结治疗效果和治疗体会。结果:甲组显效9例(10.5%),总有效率55.8%;乙组显效8例(9.3%),总有效率57.0%。结论:在治疗顽固性心力衰竭过程中,应用血管活性药物可提高治疗效果,另外,在治疗过程中应注意分析个体的伴发病情况,针对用药,可使疗效满意。

Objective:To investigate the clinical experience in treating pulmonary heart disease with intractable heart failure.Methods:We retrospective analyzed the clinical treatment of 172 cases of pulmonary heart disease with intractable heart failure patients from January 2008 to January 2013.On the basis of the comprehensive treatment,we divided them into two groups were respectively treated with perindopril and phentolamine.We investigated the clinical effect of treatment, analyzed and summed up the curative effect and the experience of treatment.Results:9 cases were markedly effective in group A(10.5%),and the total efficiency was 55.8%.8 cases were markedly effective in group B(9.3%),and the total efficiency was 57%.Conclusion:In the treatment of intractable heart failure process,the vasoactive medications can improve the treatment effect,in addition,we should pay more attention to analyze the concomitant disease of individual in the course of treatment,and give the personalized medicine,so we can make the curative effect is satisfactory.