老年患者地高辛的维持治疗
Maintenance digoxin in elderly patients.
作者信息
Dall J L
出版信息
Br Med J. 1970 Jun 20;2(5711):705-6. doi: 10.1136/bmj.2.5711.705.
Abstract
Digitalis glycosides remain the cornerstone of treatment in cardiac failure. The increasing frequency of toxic effects is a cause for concern. Review of 80 elderly patients receiving digoxin on a maintenance basis, some of whom had toxic effects, shows that in almost three-quarters of the group digoxin was stopped without detriment. Elderly patients on maintenance treatment should be reviewed, and in the absence of a known primary cardiac lesion an attempt should be made to withdraw digoxin.
摘要
洋地黄糖苷仍然是心力衰竭治疗的基石。毒性作用频率的增加令人担忧。对80例维持服用地高辛的老年患者进行回顾，其中一些患者出现了毒性作用，结果显示该组近四分之三的患者停用了地高辛且并无不良影响。应对接受维持治疗的老年患者进行复查，对于无已知原发性心脏病变的患者，应尝试停用洋地黄。
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