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低分子肝素钙与硝酸甘油雾化吸入对肺心病急性发作期的临床研究
引用本文:陈刚,葛林阳.低分子肝素钙与硝酸甘油雾化吸入对肺心病急性发作期的临床研究[J].临床肺科杂志,2011,16(7):1022-1024.
作者姓名:陈刚  葛林阳
作者单位:高淳,高淳县人民医院,江苏,211300
摘    要:目的观察硝酸甘油、低分子肝素钙经氧气驱动雾化给药对肺心病急性发作期患者血气分析及肺动脉压力的影响。方法对120例肺心病急性发作期患者分3组:A组:射流雾化吸入硝酸甘油10 mg+生理盐水2 ml,每日2次,每次15min,疗程7 d;B组:射流吸入低分子肝素钙4100 IU加生理盐水2 ml,每日2次,每次15 min,疗程7 d;C组:硝酸甘油10 mg+低分子肝素钙4100 IU射流雾化,每日2次,每次15 min,疗程7 d。治疗前后监测动脉血气分析、及肺动脉压力变化情况。结果血气及肺动脉压力的变化每组治疗前后差异均有显著性(P〈0.05),C组与A、B组比较,PaO2及肺动脉压力改善更明显(P〈0.01)。结论肺心病急性发作期患者联合吸入硝酸甘油与低分子肝素钙,具有改善血气及肺动脉压作用快而直接,能明显缓解血液高粘状态,改善微循环,纠正心肺功能不全效果显著。

关 键 词:低分子肝素钙  硝酸甘油  雾化吸入  肺心病  血气分析

Clinical study on the efects of nebulized Low molecular weight heparin calcium and nitroglycerin on pulmonary heart disease of the blood gas analysis and pulmonary arterial pressure
CHEN Gang,GE Lin-yang.Clinical study on the efects of nebulized Low molecular weight heparin calcium and nitroglycerin on pulmonary heart disease of the blood gas analysis and pulmonary arterial pressure[J].Journal of Clinical Pulmonary Medicine,2011,16(7):1022-1024.
Authors:CHEN Gang  GE Lin-yang
Institution:CHEN Gang,GE Lin-yang GAO Chun People's Hospital Nanjing 211300,China
Abstract:Objective Observe nitroglycerin,low molecular heparin calcium for medicine by oxygen of cor pulmonale driver atomization acute episode patient blood gas analysis and the influence of pulmonary artery pressure,and discusses their action mechanism.Methods 120 cases of patients with acute episode cor pulmonale three groups were observed aerosol inhalation of low molecular heparin calcium,nitroglycerin solution and low molecular heparin calcium,nitroglycerin joint aerosol inhalation of blood gas analysis and pu...
Keywords:low molecular weight heparin calcium  nitroglycerin  atomization inhalation  cor pulmonale  blood gas analysis  
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