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目的:探讨慢型克山病治疗、管理和生活指导方法,以提高患者存活率,降低病死率。方法:选择旬邑县、富县、商州区在册登记和每年线索调查新检出心功能失代偿Ⅱ、Ⅲ、Ⅳ级及有严重快速性心律失常的慢型克山病病人,采取传统药物洋地黄制剂为主的强心、利尿、补钾、支持与对症等综合治疗。结果:患者经过正规合理地治疗后症状、体征消失或减轻,心功能得到明显改善和好转。165例慢型克山病临床治愈33.9%;显著好转37.6%;好转28.5%;总有效率100%。对延长患者寿命,提高存活率,降低病死率很有裨益。结论:坚持对慢型克山病家庭病床治疗,管理和生活指导是目前比较理想的有效途径和方法。
Objective: To explore the treatment, management and life guidance of chronic Keshan disease in order to improve the survival rate of patients and reduce the mortality rate. Methods: Xunyi County, Fu County, Shangzhou District register and annual clues were selected to detect new patients with decompensated cardiac dysfunction II, III, IV grade and severe tachyarrhythmia in patients with chronic Keshan disease, to take the traditional Drugs mainly digitalis cardiac, diuretic, potassium, support and symptomatic and other comprehensive treatment. Results: After treatment, the symptoms and signs disappeared or alleviated, and the cardiac function was improved and improved significantly. 165 cases of Keshan disease clinical cure 33.9%; significantly improved 37.6%; improved 28.5%; total effective rate of 100%. To extend patient life, improve survival, reduce mortality is very helpful. Conclusion: Adhering to the treatment, management and living guidance of chronic Keshan disease family beds is an ideal and effective way and method at present.