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[用培林加尼治疗急性心肌梗死]

[The treatment of acute myocardial infarct with perlinganit].

作者信息

Lazebnik L B, Tereshchenko S N, Gendel'man A M

出版信息

Ter Arkh. 1990;62(8):26-8.

PMID:2125753
Abstract

As many as 43 patients with myocardial infarction were under observation. There were 30 men and 13 women aged 36 to 82 years. Of these, 26 patients had large-focal and 17 transmural myocardial infarction. Perlinganit was injected in the form of 0.1% solution by means of a drug-dosing apparatus (DDA-1). The drug infusion lasted 51.1 +/- 4.8 h on the average, the mean infusion rate was 74.5 +/- 3.4 micrograms/min. After 24 hours it was required that in 32 patients the mean infusion rate be increased 1.5-fold. The hemodynamics was assessed with the aid of tetrapolar chest rheography. Well-defined clinical and hemodynamic effects were revealed. In some patients, the clinical signs of left ventricular insufficiency could be eliminated. Contractile function of the left ventricle returns to normal within the first hours of disease. During perlinganit treatment, the antianginal and antiarrhythmic effects were recorded. The data obtained point to the fact that the use of perlinganit for the treatment of acute myocardial infarction is advisable.

摘要

共有43例心肌梗死患者接受观察。其中有30名男性和13名女性,年龄在36至82岁之间。这些患者中,26例为大面积灶性心肌梗死,17例为透壁性心肌梗死。以0.1%溶液的形式通过药物定量装置(DDA - 1)注射培林加尼特。药物输注平均持续51.1±4.8小时,平均输注速率为74.5±3.4微克/分钟。24小时后,32例患者需要将平均输注速率提高1.5倍。借助四极胸部血流图评估血流动力学。观察到明确的临床和血流动力学效应。在一些患者中,左心室功能不全的临床体征得以消除。左心室的收缩功能在疾病的最初几小时内恢复正常。在培林加尼特治疗期间,记录到抗心绞痛和抗心律失常作用。所获数据表明,使用培林加尼特治疗急性心肌梗死是可取的。

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