大剂量呋塞米持续静脉泵入治疗重度心衰临床疗效观察.pdfVIP

实用临床医药杂志 2011 年第 15 卷第 13 期 JoumaI of Clinical Medicine in Practice ? 99 ? 大剂量映塞米持续静脉泵入治疗 重度心褒临床疗效观察 席连英，田竿，陈东方，刘蓉，陆保凤 (湖北房县人民服院心内科，湖北十壤， 442100) 摘 要:目的观察大剂量峡塞米持续静脉袋入治疗重度心衰的临床疗效及安全傲。方法选择 N 级以上重度心衰怠者 60 例，随机分成治疗绩和观察组各 30 例。治疗组给予峡寒米静脉依泼加持续静脉泵人峡第米，对照缎每日 2 次常规静脉推注 峡寨米，于治疗前后观察两组治疗变化。箱 5良 两组患者治疗后气促症状均改善，外用水肿均消退。治疗组低血压及低血仰 发生率均较对照组低，住院周期较对照组锐。结论持续静脉泵入大剂量峡塞米治疗重疲心衰是…种安全有效的治疗方法， 且可缩短患者位院时间。 关键询:峡寡米;静脉泵入; 1意度心力衰竭;疗效 中团分类号: R 541. 6 文献标志码 :A 文章编号: 1672-2353(2011 )1 3ωω99 一 02 Clinical observation on the continuous intravenous infusion 。 f high … dose furosemide in Severe heart failure XI Lian …抖吨， TIAN Jun, CHEN Dong…fang, LIU Qin ,LU 8ao- feng (Department 01 向rd灿脚 ， Hubei Fangxian Peoples f必spita1 ， 队 iym ， Hu伪证， 442100) ABSTRAcr: Objective Observe the clinical curative effective and 配curity on ∞ntinuous ín? travenous infusion of high - do配 furosemide ín Severe heart faílure. Meth创s 60 Severe heart fail? ure patients were r创ldomly ruvíded into the remedial group and the ∞ntrol group, 30 ca配s in each. The treatment group was given intravenous injection of fur部emide plus ωntinuous intravenous infu? sion of furl册朋lide ， and the ∞ntrol group rl阳ived íntravenous injection of furα朋lide 2 times a day, the effectiveness of treatment was observl时 before and after remedy. Results Compared with th耐 before treatme时， the edema subsided and shortn附 of breath show时 virtually identical improve? ment, low blcx对 press旧e and low potassium in treatment group , Patients in the rem叫y group had a shorter hωpital stay period than ωntrol group. Conclusion