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我们采用综合疗法配合口服透析治疗13例顽固性心衰病人。男7例,女6例;年龄45～70岁。其中心肌梗塞并心衰5例,原发性心肌病心衰3例,缺血性心肌病2例,肺心病2例,高心病1例。病程为2个月至3年。13例均有少量或大量腹水。 方法:在强心、利尿、血管扩张及消除诱因等内科强化综合疗法的基础上,每日空腹口服温高渗腹透液1000～2000ml(每5分钟100～200ml),服后0.5～1小时静注速尿40～60mg,连续3～5天。如病人耐受性好,5天后改为2000～3000ml,隔日1次。
We used a combination therapy with oral dialysis treatment of 13 patients with refractory heart failure. 7 males and 6 females; aged 45 to 70 years old. Myocardial infarction and heart failure in 5 cases, 3 cases of primary cardiomyopathy heart failure, 2 cases of ischemic cardiomyopathy, pulmonary heart disease in 2 cases, 1 case of heart disease. Duration of 2 months to 3 years. Thirteen cases had a small amount or a large amount of ascites. Methods: On the basis of integrative internal medicine such as cardioplegia, diuresis, vasodilation and eradication inducement, daily hypertensive peritoneal dialysis was given 1000 ~ 2000ml (100 ~ 200ml every 5 minutes), 0.5 ~ 1 hour Intravenous furosemide 40 ~ 60mg, for 3 to 5 days. If the patient is well tolerated, 5 days later changed to 2000 ~ 3000ml, every other day.