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静脉注射米力农治疗充血性心力衰竭
引用本文:田军,肖竟,徐泽昌,张树林,张桂珍,沙鸣. 静脉注射米力农治疗充血性心力衰竭[J]. 心脏杂志, 1994, 0(1). DOI: 10.13191/j.chj.1994.01.12.tianj.004
作者姓名:田军  肖竟  徐泽昌  张树林  张桂珍  沙鸣
作者单位:北京军区总医院心内科
摘    要:静脉注射米力农治疗24例充血性心衰患者,其中5例经血液波动力学监测。用药后,患者的肺动脉楔压,肺循环和体循环阻力降低,心排血指数增加,心衰症状减轻,运动耐量增加,总有效率84.20%,部分患者用药过程中,血压轻度下降,心率略增快。本文提示米力农是治疗充血性心衰的有效药物。

关 键 词:药物   米力农   心力衰竭   充血性   血液动力学

Milrinone in congestive heart failure
Tian Jun,Xiao Liang ,Xu Zechang,Zhang Shalin,Guizhen and Sha Ou. Milrinone in congestive heart failure[J]. Chinese Heart Journal, 1994, 0(1). DOI: 10.13191/j.chj.1994.01.12.tianj.004
Authors:Tian Jun  Xiao Liang   Xu Zechang  Zhang Shalin  Guizhen  Sha Ou
Abstract:In the present study 24 patients with congestive heart failurewere intravenously administered with milrinone.Hemodynamic changes were monitored in 5 patients before and after milrinone infusion. The results showed that pulmonary wedge pressure and pulmonary vascular resistance decreased(P<0.01) Systemic vascular resistance also decreased(P<0.05).In a double-blind tria1, 19 patients received milrinone and 7 received an identical placebo.Symptoms of heart failure in those taking milrinone were alleviated and tolerance of exercise was raised,The total effective rate amounted to 84.8%.It suggested that milrinone may be useful in the treatment of congestive heart failnre.
Keywords:drugs   milrinone  heart failure   congestive  hemodynamics  
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