Nitroglycerin Acanthopanax injection and refractory heart failure treatment of pulmonary heart disease clinical analysis of 47 cases.doc

 PAGE \* MERGEFORMAT 8 Nitroglycerin Acanthopanax injection and refractory heart failure treatment of pulmonary heart disease clinical analysis of 47 cases Our department from November 2004 -2009 in February Acanthopanax injection and the use of nitroglycerin treatment of refractory heart failure with pulmonary heart disease in 47 cases. Satisfactory results reported as follows: 1 Materials and Methods 1.1 The diagnostic criteria for pulmonary heart disease by 1977, the second national standards developed by the Conference pulmonary heart disease, “heart failure refractory to lt;lt;in the national scientific expertise Collectiongt;gt; refractory heart failure treatment decisions” for the diagnosis. (1 with severe , the persistence of symptoms and signs of heart failure, pulmonary congestion or pulmonary edema caused by breathing difficulties. systemic circulation congestion problems, such as oliguria, foot swelling, liver, jugular vein engorgement. (2 there is evidence of hemodynamic defects, peripheral venous hypertension, left ventricular end diastolic pressure and cardiac index decreased. (3 with can cause heart failure pump out the etiology of data. (4 applications rest, salt restriction, diuretics, cardiac and other ineffective conventional therapy . 1.2 The case of the 47 cases. All of my inpatient patients, are consistent with the diagnostic criteria. Including 24 males and 23 females, aged 42-80 years, mean 61 years old. All patients had a history of cough, 10-38 years, were moderate or significant cyanosis, dyspnea, pulmonary rales were scattered in the wet. There was wheeze in 18 cases, all patients had an enlarged heart, heart rategt; 100 beats / min, jugular vein engorgement, pulmonary valve area The second heart sound hyperthyroidism, the apex and the tricuspid valve area systolic murmur, and positive signs of liver jugular reflux, hepatomegaly, and lower extremity edema, right heart failure and pulmonary hypertension signs. electroc