Salvia furosemide vasoactive drugs on patients with severe heart failure 86 cases.docVIP

 PAGE \* MERGEFORMAT 6 Salvia furosemide vasoactive drugs on patients with severe heart failure 86 cases [Keywords:] Salvia furosemide vasoactive drugs with severe heart failure I nearly 8 years combined with compound Danshen injection, furosemide, dopamine, dobutamine, and phentolamine and magnesium sulfate infusion treatment of 86 patients with severe chronic congestive heart failure achieved good results, are as follows. 1 Materials and Methods 1.1 General information on 86 patients, 52 males and 34 females; aged 38 to 82 years, mean 62 years. Underlying disease: 26 cases of coronary heart disease, high-heart disease in 22 cases, 13 cases of pulmonary heart disease, rheumatic heart disease in 11 cases, dilated cardiomyopathy in 4 cases, 4 cases of congenital heart disease, complex heart disease (CHD + heart + high-Cor) in 6 cases. Clinical features: All 64 patients with heart failure, left heart failure alone in 22 cases, 16 cases of cardiac function grade , Grade 70 cases, liver tenderness, and severe pitting edema in 52 cases, combined with mild to moderate renal insufficiency (Cr lt;250mol / L) 15 cases. 1.2 treatment of active treatment based on disease, infection control, to correct electrolyte and acid-base balance disorders on the basis, give oxygen, sedation, cedilanid / cardiac digoxin, diuretic furosemide + spironolactone, comprehensive treatment of 3 to 7 days , cardiac function and / or edema, no obvious improvement, the addition of 5% GS, or 0.9% NS 250ml +10% KCl 5 ~ 10ml +25% magnesium sulfate 5 ~ 10ml + DA 20 ~ 40mg + dobutamine 20 ~ 40mg + 10mg + phentolamine 20 ~ 80mg furosemide infusion, day 1 for 7 to 10 days, a few can be extended to 14 days. the treatment of blood pressure control in 90/60mmHg above requirements, heart rate does not exceed the treatment top 10% or not more than 120 times / min, ectopic tachycardia without obvious, dopamine and dobutamine drip rate were controlled at 5g / (kg min) or less. 1.3 Efficac