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首页> 外文期刊>Drugs and aging >Severe heart failure in the elderly: potential benefits of high-dose and continuous infusion diuretics.
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Severe heart failure in the elderly: potential benefits of high-dose and continuous infusion diuretics.

机译:老年人严重心力衰竭:大剂量和持续输注利尿剂的潜在益处。

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摘要

Heart failure (HF) is a growing problem among the elderly that results in significant morbidity and mortality. Congestive symptoms because of sodium and water retention are a major cause of impaired functional capacity and frequent hospitalisations. Patients with severe HF often develop resistance to traditional doses of diuretics. Subtherapeutic diuretic regimens may result in prolonged hospitalisation and thus increased costs. Numerous studies have shown that aggressive high-dose regimens of loop diuretics can be safely and effectively used in elderly patients with severe HF. Continuous intravenous infusions are a particularly effective method for delivering high daily doses of diuretics and rapidly removing large amounts of excess sodium and water. In our experience, continuous intravenous infusions are a well tolerated and effective treatment, which may shorten the duration of hospitalisation and in turn reduce the costs of treating elderly patients with HF.
机译:心力衰竭(HF)是老年人中日益严重的问题,导致严重的发病率和死亡率。由于钠和水retention留引起的充血症状是功能能力受损和经常住院的主要原因。重度HF患者通常对传统剂量的利尿药产生抵抗力。亚治疗性利尿方案可能会导致住院时间延长,从而增加成本。大量研究表明,积极的大剂量of利尿剂疗法可以安全有效地用于老年重症心衰患者。连续静脉输注是一种特别有效的方法,可以每天输送高剂量的利尿剂并迅速清除大量过量的钠和水。根据我们的经验,连续静脉输注是一种耐受良好且有效的治疗方法,可以缩短住院时间,进而降低治疗老年心衰患者的费用。

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