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心力衰竭是老年人器质性心脏病常见的并发症,在老年人尸检中证买约有1/5的人直接死于心衰。故心衰的治疗,对于延长老年人的寿命、降低死亡率均有重要的意义。过去对老年人心衰的治疗通常应用洋地黄、利尿剂等近年来应用血管扩张剂和拟交感胺类药物,我科1985—01～1988—01应用硝酸甘油和少量多巴胺静脉点滴治疗老年人心衰36例,同时用洋地黄加利尿剂治疗老年人心衰36例进行对比,临床上取得了较好的疗效,现报告如下。
Heart failure is a common complication of organic heart disease in the elderly. In an autopsy of the elderly, about one fifth of people who die in heart failure die directly. Therefore, the treatment of heart failure, to extend the life of the elderly, reduce mortality are of great significance. The past treatment of heart failure in the elderly are usually applied digitalis, diuretics and other recent applications of vasodilators and sympathomimetic drugs, our department 1985-01 ~ 1988-01 nitroglycerin and a small amount of dopamine intravenous treatment of the elderly heart 36 cases of decline, while using digitalis plus diuretic treatment of elderly patients with heart failure in 36 cases compared to clinically achieved good results, are as follows.