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[静脉注射卡托普利对肺心病合并肺动脉高压患者急性血流动力学及激素变化的研究]

[A research of acute hemodynamics and hormonal changes of intravenous captopril in patients with cor pulmonale and pulmonary hypertension].

作者信息

Tang B, Cheng Z, Huang Y

机构信息

Department of Cardiology, First Affiliated Hospital, Xinjiang Medical College.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1995 Oct;18(5):303-5, 319.

PMID:8762486
Abstract

In 20 patients of cor pulmonale with heart failure and respiratory failure and in 11 healthy men, after intravenous captopril injection, acute hemodynamic and hormonal change were observed. The results indicated that intravenous captopril injection rapidly reduced cardiac preload and afterload, reduced pulmonary arterial pressure, increased cardiac output, inhibited renin system activity, decreased plasma level of thyroxin and atrial natriuretic peptide. A rapid symptomatic improvement in patients with acute or severe cor pulmonale was shown and there was no significant effect on blood gas immediately.

摘要

在20例患有心力衰竭和呼吸衰竭的肺心病患者以及11名健康男性中,静脉注射卡托普利后,观察到急性血流动力学和激素变化。结果表明,静脉注射卡托普利可迅速降低心脏前负荷和后负荷,降低肺动脉压,增加心输出量,抑制肾素系统活性,降低血浆甲状腺素和心房利钠肽水平。急性或重度肺心病患者症状迅速改善,且对血气立即无显著影响。

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