Dopamine and phentolamine combined treatment of pulmonary heart failure of 65 cases.docVIP

 PAGE \* MERGEFORMAT 4 Dopamine and phentolamine combined treatment of pulmonary heart failure of 65 cases [Keywords:] dopamine and phentolamine Pulmonary Heart Disease Our hospital from October 2005 to October 2009 to 65 cases of pulmonary heart failure patients treated with dopamine and phentolamine infusion therapy, received a satisfactory effect, these are as follows: 1 Clinical data 1.1 General information: The group of 65 cases of pulmonary heart disease according to 1979 National Conference diagnostic criteria for diagnosis of digitalis preparations and diuretics by conventional treatment of heart failure can not be corrected, the symptoms continued to increase, and recurrent patients, 35 male patients, 30 females, aged 52-78 years, mean age 63 years. 1.2 divided by degree of heart failure: 12 cases, grade 21 cases, grade in 32 cases. 1.3 Treatment: dopamine 20mg, 10mg phentolamine joined together in 200ml 5% glucose solution intravenously, 15-20 drops per minute, once a day, once every 4-7 days, the average medication 5 days, simultaneously with antibiotics and other symptomatic treatment. 1.4 determine the efficacy of standard 1.4.1 markedly. Palpitation, shortness of breath and pulmonary rales disappeared or significantly reduced myocardial ischemia in ECG graphics disappear or significantly reduced, heart function improvedgt; level. 1.4.2 improved. More symptom relief, or reduction of pulmonary rales, cardiac function improvedgt; I level. 1.4.3 invalid. I level insufficient cardiac function, or clinical symptoms were not improved even heavier. 2 Treatment outcome Markedly effective in 53 cases (81.5%), effective in 9 cases (13.9%) and 3 cases (4.6%), the total effective rate was 95.4%, statistically significant difference test (P (0.05). 3 Discussion Pulmonary Heart Disease Pulmonary Hypertension is a pathological basis of reduced vascular bed, pulmonary artery spasms, increased blood volume