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目的:探讨硝普钠治疗急性心肌梗死合并泵衰竭的疗效。方法:15例急性心肌梗死合并泵衰竭患者应用硝普钠治疗。硝普钠用5%葡萄糖配制,应用注射泵避光精确给药。小剂量开始,根据心率、血压调整剂量,伴低血压者合用多巴胺和/或多巴酚丁胺。结果:显效6例(40.0%),有效9例(60.0%),总有效率100%。结论:硝普钠治疗急性心肌梗死合并泵衰竭效果良好,值得临床应用推广。
Objective: To investigate the efficacy of sodium nitroprusside in the treatment of acute myocardial infarction with pump failure. Methods: 15 patients with acute myocardial infarction complicated with pump failure were treated with sodium nitroprusside. Sodium nitroprusside with 5% glucose preparation, the application of a pump to avoid light precisely administered. Low-dose start, according to heart rate, blood pressure to adjust the dose, with hypotension combined dopamine and / or dobutamine. Results: 6 cases were markedly effective (40.0%) and 9 cases were effective (60.0%), the total effective rate was 100%. Conclusion: Sodium nitroprusside is effective in treating acute myocardial infarction complicated with pump failure, which is worthy of clinical application.