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[外源性磷酸肌酸在心肌梗死患者心功能不全防治中的应用]

[Exogenous phosphocreatine in the prevention and treatment of cardiac insufficiency in patients with myocardial infarction].

作者信息

Perepech N B, Nedoshivin A O, Kutuzova A E

出版信息

Klin Med (Mosk). 1993 Jan;71(1):19-22.

PMID:8046897
Abstract

Central, intracardiac hemodynamics and myocardial contractility were assessed in 97 inpatients with macrofocal myocardial infarction. Of them, 71 received conventional chemotherapy versus 26 patients given additionally intravenous phosphocreatine (neoton). The total dose of neoton 30 g was injected during the course of 6 days following the disease onset. With minimal changes in central hemodynamics, phosphocreatine was found to prevent left-ventricular dilatation and development of congestive heart failure by decreasing preload, to maintain myocardial contractility without reduction.

摘要

对97例大面积心肌梗死住院患者的心脏中心血流动力学和心肌收缩力进行了评估。其中,71例接受常规化疗,26例额外给予静脉注射磷酸肌酸(肌安托宁)。在发病后的6天内注射了总量为30 g的肌安托宁。在中心血流动力学变化最小的情况下,发现磷酸肌酸可通过降低前负荷来预防左心室扩张和充血性心力衰竭的发生,并在不降低的情况下维持心肌收缩力。

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