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目的:探讨强心利尿剂与肝素联合治疗肺源性心脏病的临床疗效。方法:全部病人采用基础治疗措施如吸氧、改善通气、控制感染等。治疗组46例联用强心利尿剂与肝素;对照组49例采用洋地黄、利尿剂及硝酸甘油等常规方案。经过7~10天比较两者疗效。结果:治疗组显效率为59%,总有效率91%;对照组显效率39%,总有效率74%;两者统计学上有显著差异。结论:治疗组方法可以改善肺心病的血液循环障碍,降低肺动脉高压,改善心肺功能。
Objective: To investigate the clinical effect of cardiac diuretic combined with heparin in the treatment of pulmonary heart disease. Methods: All patients using basic treatment measures such as oxygen, improve ventilation, infection control. In the treatment group, 46 cases were treated with cardiac diuretic plus heparin. In the control group, 49 cases were given conventional regimen of digitalis, diuretics and nitroglycerin. After 7 to 10 days compared the efficacy of both. Results: The effective rate was 59% and the total effective rate was 91% in the treatment group. The effective rate in the control group was 39% and the total effective rate was 74%. There was a statistically significant difference between the two groups. Conclusion: The treatment group can improve the circulatory disturbance of pulmonary heart disease, lower pulmonary hypertension and improve cardiopulmonary function.