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急性可逆性缺血所致的心力衰竭是冠心病常见的并发症,多发于急性心肌梗塞后或急性肺水肿,亦有短暂心肌缺血致左室舒张末压增加,我们从1990年以来选用尼卡地平、苯脂丙脯酸治疗心力衰竭,效果满意,报告如下。 1 临床资料 治疗急性可逆性缺血性心衰15例,其中男10例,女5例。年龄45～55岁7例,56～68岁8例。心肌梗塞2例,急性肺水肿4例,短暂心肌缺血9例。 1.1 诊断标准 ①临床上多出现气急、胸闷、心悸、不能平卧等症状。②面部、两下肢轻度浮肿。③两肺部顺应性减低,肺底部呼吸音减弱或闻及湿性罗音。④心前区
Acute reversible ischemia caused by heart failure is a common complication of coronary heart disease, multiple acute myocardial infarction or acute pulmonary edema, there are short-term myocardial ischemia caused by increased left ventricular end-diastolic pressure, we have chosen since 1990, Nigeria Cardiopathin, phenyipril treatment of heart failure, the results are satisfactory, the report is as follows. A clinical data of 15 cases of acute reversible ischemic heart failure, including 10 males and 5 females. Age 45 to 55 years in 7 cases, 56 to 68 years in 8 cases. 2 cases of myocardial infarction, 4 cases of acute pulmonary edema, 9 cases of transient myocardial ischemia. 1.1 diagnostic criteria ① more clinical appear shortness of breath, chest tightness, heart palpitations, can not lie and other symptoms. ② face, two lower extremities mild edema. ③ reduce the compliance of the two lungs, the lungs at the bottom of the breath sounds weakened or smell wet rales. ④ heart area