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目的探讨毛花甙C治疗心力衰竭伴室性心动过速的疗效。方法选择1999年2月至2006年3月我科住院心力衰竭伴室性心动过速患者32例(排除洋地黄中毒者),使用毛花甙C稀释后静脉注射复律。毛花甙C剂量为0.4~0.8mg,分1~3次应用,复律后每日给予0.2~0.4mg维持。结果复律成功24例,失败8例,成功率75%。副反应主要为轻度消化道症状,个别出现心动过缓。结论毛花甙C对心力衰竭伴室性心动过速有较好的疗效,副反应小,可作为治疗心力衰竭伴室性心动过速的有效手段之一。
Objective To investigate the therapeutic effect of lanugin C on heart failure with ventricular tachycardia. Methods From February 1999 to March 2006, 32 patients with heart failure and ventricular tachycardia (excluding digitalis poisoning) were enrolled in our department, and cardioversion was given intravenously after dilution with Celastrol C. Celastrol C dose of 0.4 ~ 0.8mg, divided into 1 or 3 applications, given 0.2 ~ 0.4mg daily maintenance cardioversion. Results 24 cases of cardioversion success, failure in 8 cases, the success rate of 75%. Side effects are mainly mild gastrointestinal symptoms, individual bradycardia. Conclusion Celasol C has better curative effect on heart failure with ventricular tachycardia and less side effects, which may be used as an effective method to treat heart failure with ventricular tachycardia.