Phentolamine dopamine furosemide treatment of refractory heart failure with pulmonary heart disease experience of 32 cases.doc

 PAGE \* MERGEFORMAT 5 Phentolamine dopamine furosemide treatment of refractory heart failure with pulmonary heart disease experience of 32 cases Our hospital since 2008, the application of phentolamine, dopamine, furosemide treatment of refractory heart failure with pulmonary heart disease, 32 cases were hospitalized patients diagnosed by clinical symptoms and signs of change, simple means. The observation, made satisfactory results, are as follows. 1 Data Methods 1.1 General information on 32 patients, 14 males and 18 females, aged 57-74 years, 10-35 years of cough illness. 5-10 years diagnosed with pulmonary heart disease patients with different degrees of asthma .32, continued in more than 48h are have different degrees of pulmonary congestion syndrome, breathing difficulties, coughing, cyanosis, pulmonary rales dry sex, and circulation congestion syndrome, oliguria, edema, hepatomegaly, rapid heart rate, jugular vein engorgement and so on. In addition to 2 cases of blood pressure high blood pressure in the remaining cases were normal. The rest of the group of patients, salt restriction, spasm and asthma, application of digitalis, diuretics and hormones, anti-inflammatory and other conventional therapy were invalid or the result is not significant. 1.2 in the original treatment on the basis of treatment with phentolamine 10-15mg, dopamine 20mg, furosemide 20-40mg, plus 10% glucose infusion 250ml in ,15-20 drops / min, day 1, At the same time potassium, used in conjunction 3-7 days. 2 treatment Application of these drugs in combination therapy 6-12h, see the effect that, first, to increase urine output, edema fading, symptoms improved, 23 cases in remission, cough edema, lung wet and dry rales disappeared or significantly reduced, cyanosis significantly reduced heart rate dropped to 100 times / min,, the condition improved in 6 cases, the above part of the reduced or improved. 3 cases, the above does not get better.