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目的探讨舒张性心力衰竭的临床诊治措施。方法分析本院32例患者的临床资料。结果 32例DHF患者中,显效16例,有效13例,无效3例,总有效率92%。32例患者随访12个月,因再次心衰住院6例,E/A比值增大27例,无明显改善3例。结论 DHF的治疗原则,主要是治疗导致DHF的危险因素或原发病,针对这些疾病的治疗延缓DHF进展是极为重要的;血管紧张素转换酶抑制剂(ACEI)、血管紧张素Ⅱ受体拮抗剂(ARB)和β-受体阻滞剂能逆转左室肥厚;DHF并发心房颤动,应尽可能转复窦性心律。
Objective To investigate the clinical diagnosis and treatment of diastolic heart failure. Methods The clinical data of 32 patients in our hospital were analyzed. Results Of 32 patients with DHF, 16 were markedly effective, 13 were effective, 3 were ineffective and the total effective rate was 92%. Thirty-two patients were followed up for 12 months. There were 6 hospitalized patients with recurrent heart failure, the E / A ratio increased by 27 cases and no significant improvement was found in 3 cases. Conclusions The principle of DHF treatment is mainly to treat the risk factors or primary diseases that lead to DHF. It is very important to treat these diseases to delay the progress of DHF. Angiotensin converting enzyme inhibitor (ACEI), angiotensin Ⅱ receptor antagonist (ARB) and β-blockers can reverse left ventricular hypertrophy; DHF complicated by atrial fibrillation should be as far as possible to reverse sinus rhythm.