艾司洛尔治疗急性心肌梗死并急性左心衰竭临床观察.doc

艾司洛尔治疗急性心肌梗死并急性左心衰竭临床观察
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:观察静脉注射艾司洛尔治疗急性心肌梗死并急性左心衰竭临床效果。方法:本组8例急性心肌梗死并急性左心衰竭,在常规治疗的同时,应用静脉注射艾司洛尔后,观察患者的临床症状、体征、心电图及胸片的变化。结果:本组8例患者治疗后临床症状均有改善或缓解。心电图提示心肌缺血明显改善;肺部啰音明显减少,胸片示肺淤血明显减轻。结论:对急性心肌梗死并急性左心衰竭,常规治疗的同时静脉注射艾司洛尔可获得良好的疗效。
【关键词】急性心肌梗死;急性左心衰竭;艾司洛尔;静脉注射
[ABSTRACT] Objective: To observe the effects of intravenous injection of esmolol on acute myocardial plicated with acute left heart failure. Methods: Eight cases of acute myocardial plicated with acute left heart failure were treated with intravenous injection of esmolol on the basis of routine treatment. After the administration of esmolol, clinical manifestations, physical signs, changes in the electrocardio gram and chest X
ray results were observed. Results: After the administration of esmolol, clinical manifestations, physical signs were relived for all 8 cases; myocardial ischemia,rales and congestion in the lung were also improved according to the electrocardio gram and chest Xray results. Conclusions: Acute myocardial plicated with acute left ventricular failure which is induced by myocardial ischemia and increased heart beats can be relieved by intravenous injection of bing with routine treatments.
[KEY WORDS] Acute myocardial infarction; Acute left ventricular failure; Intravenous injection; Esmolol
β受体阻滞剂用于治疗慢性心力衰竭已经得到循证医学的肯定,并已在临床上广泛应用。由于应用受体阻滞剂可能会抑制心肌收缩力而