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1 临床资料 本组病人男18例,女7例。年龄45～69岁,平均54岁。均为重症肺心病合并心衰。临床症状均有心慌、闷气、呼吸困难、纳差、尿少。体征除心脏体征外均有肝脏肿大,肺部干、湿性罗音,双足凹陷性水肿。入院后都采用强心、利尿、抗感染、纠正水电解质紊乱治疗一周心衰无明显改善,肝肿大及水肿不消失,肺罗音不减少,再加用硫酸镁静滴。 方法:25％硫酸镁10ml加入10％葡萄糖液内以每分钟30～45滴的速度滴入,连用一周。 2 结果 25例病人全部有效。其中1剂有效7人,2～3剂有效10人,4～7剂有效8人。治疗过程中除2人出现头晕、心慌加重外,调整滴数后好转。别无不良反应。
A clinical data of 18 patients in this group of patients, 7 females. Age 45 ~ 69 years old, average 54 years old. Are severe pulmonary heart disease with heart failure. Clinical symptoms are palpitation, sulking, dyspnea, anorexia, oliguria. Signs in addition to heart signs have liver enlargement, dry lungs, wet rales, bipedal pitting edema. After admission, cardiac, diuretic and anti-infective were used to correct the water-electrolyte disturbance. There was no significant improvement in one-week heart failure. Hepatomegaly and edema did not disappear. Lung rales were not reduced, and intravenous infusion of magnesium sulfate was used. Methods: 25% magnesium sulfate 10ml added 10% glucose solution at a rate of 30 to 45 drops per minute, once a week. 2 Results 25 patients all effective. Among them, one is effective and seven are effective, two to three are effective and 10 are effective, and four to seven are effective and eight are effective. In addition to 2 patients during treatment, dizziness, palpitation increased, after adjusting the number of drops improved. No adverse reactions.