单次静脉注射氨利酮(Amrinone)治疗心功能衰竭临床血流动力学研究

Clinical and hemodynamic observation of single dose Amrinone given intravenously in patients with heart failure

  • 摘要: 为探讨新型抗心衰药氨利酮(Amrinone)的血流动力学作用特点,本研究在10例心衰患者(冠心病5例,高心病2例,扩张性心肌病3例)一次静注氨利酮1.0mg/kg后,作血流动力学观察,分别于用药后30分钟,1、2、3、6、9小时测定CO、PCWP、CVP、PAP、BP、HR。并于用药前、用药后3、6、9小时取静脉血测定血浆及红细胞内cAMP浓度。用药后半小时心排血量增加32.8%,PCWP下降23.8%,全身和肺血管阻力分别下降23.8%和45.06%(均为P<0.001)。血压和心率变化不大。cAMP测定结果提示:红细胞内cAMP浓度与血流动力学作用有一致的变化趋势,对估计药物治疗反应和心功能改善具有一定的参考价值。2例用药后血小板计数较用药前下降6—7万,但未见任何出血现象,一周后自行恢复。本结果提示,以中等剂量(1mg/kg)静脉注射起效快,有效时间相对较长,短期应用无明显副作用,适宜于急性心衰和慢性心衰急性加重的治疗。

     

    Abstract: Clinical and hemodynamic studies were performed in patients with heart failure with a purpose of evaluating the immediate effects of Amrinone. 10 patients aged 42—63 years received one dose of amrinone, 1 mg/kg intravenously for evaluation of the shortterm therapeutic effects in congestive heart failure (5 coronary, 2 hypertensive heart disease and 3 congestive cardiomyopathy).The results showed that the cardiac output increased 32.8% (P<0.01), PCWP declined 45.3% (P<0.001) No sigificant changes in HR and Bp were found.A Comparative study of serum and RBC cAMP levels were studied coincidently with hemodynamic monitoring. During treatment only 2 patients developed mild transient thrombocytopenia and recovered one week later.

     

/

返回文章
返回