【摘要】 本文为急性心肌梗塞合饼心衰及休克41例采用血管扩张剂治疗的经验总结。 全部病例采用持续静脉点滴,硝普钠从6.25～12.5微克/分开始,最大剂量为250微克/分;瑞吉亭或酚妥拉明从0.07～0.1毫克/分开始,最大剂量为0.6毫克/分;硝酸甘油从10微克/分递增到30微克/分。 41例中合併心力衰竭者29例,休克+心衰者12例。三种血管扩张剂的总有效率:心衰组(29/40)为72.5±7.1％;休克组(9/15)为60±12.6％。41例中重度心衰及休克患者27例,死亡8人,病死率为29.6％±8.8％ 使用硝普钠超过一周,或剂量>100微克/分,要注意氰化物中毒。更多还原

【Abstract】 This paper reports the vasodilator treatment in 41 cases of heart failure and cardiogenic shock complicating acute myocardial infarction. All patients received continuous intravenous administration. Desage of nitroprosside was 6.25--12.5 μg/min to 250 μg/min in maximum; Regitine or phentolamine from 0.07--0.1 mg/min, to 0.6 mg/min in maximum; nitroglycerin from 10 μg/min to 30 μg/min.Of the 41 cases, 29 patients were complicated with heart failure; as well as 12 with cardiogenic shock and heart failure. Total efficacy of these vasodilators were, heart failure group (29/40), 72.5±7.1%; shock group(9/15), 60±12.6%, of the 41 cases, There were 27 patients complicated with severe heart failure and cardiogenic shock, 8 of them died with hospital mortality of 29.6±8.8％The toxicity of cyanide compound must be observed, if the period of using nitroprusside was over one week or the dosage of using was over 100 μg/min.更多还原