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銆€銆€2. Ang鈪″彈楂� (AT)闃绘柗钘�
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銆€銆€1)鎷姉Ang鈪�?q奴)蟺闅绢€樿姛鍒皔(t菕ng)鐨勭敓鐗╁(xu茅)浣滅敤锛岄€嗚綁(zhu菐n)蹇冭倢鑲ュ帤銆佸乏瀹ら噸妲�(g貌u)鍙婂績鑲岀簴缍寲銆�
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銆€銆€(浜�)β鍙楅珨闃绘柗钘�
銆€銆€20涓栫磤(j矛)70骞翠唬鍓�锛岃獚(r猫n)鐐� β鍙楅珨闃绘柗钘ョ殑璨�(f霉)鎬ц倢鍔�銆佽矤(f霉)鎬ч牷鐜囦綔鐢紝绂佺敤浜庢不鐧侰HF銆傜洿鍒�20涓栫磤(j矛)70骞翠唬涓湡锛屽ぇ瑕�(gu墨)妯$殑鑷ㄥ簥瀵�(sh铆)椹�(y脿n)璀夋槑闀锋湡鎳�(y墨ng)鐢� β 鍙楅珨闃绘柗钘ヨ兘绲﹀ぇ澶氭暩(sh霉)CHF鎮h€呭付渚嗙泭铏�锛岄檷浣庢浜$巼锛岄枊鍓�(chu脿ng)浜嗘嫯鎶椾氦鎰熺缍�(j墨ng)绯荤当(t菕ng)娲绘€ф不鐧侰HF鐨勬柊閫斿緫銆傜洰鍓嶆槸鑷ㄥ簥涓婁竴椤炴不鐧侰HF鐨勫父瑕�(gu墨)鐢ㄨ棩銆�
銆€銆€甯哥敤钘ョ墿鐐洪潪閬告搰鎬� β 鍙楅珨闃绘柗钘�锛屽鍗$董鍦版礇 (carvedilol)锛屽彲浠ラ樆鏂� β銆�β鍜�α 鍙楅珨銆傝┎钘ユ槸FDA鎵规簴(zh菙n)鐢ㄤ簬寤堕暦蹇冭“閫�(j矛n)灞曘€侀檷浣庣櫦(f膩)鐥呰垏姝讳骸鐜囩稖鍚堢殑鍞竴 β鍙楅珨闃绘柗钘�銆傚崱缍湴娲涘皬鍔� (6.25mg)琛ㄧ従(xi脿n)鍑哄皪β鍙楅珨閬告搰鎬�锛屽ぇ鍔戦噺 (25mg`)鍏艰兘闃绘柗β β銆�1 1 2α鍙楅珨锛岃〃鐝�(xi脿n)鍑鸿純鍏ㄩ潰鐨勬姉鑵庝笂鑵虹礌鑳戒綔鐢�銆�
銆€銆€[钘ョ悊浣滅敤鑸囨(j墨)鍒禲
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銆€銆€2.涓婅(di脿o) β鍙楅珨浣滅敤;CHF鏅�β鍙楅珨涓嬭(di脿o)锛屽皫(d菐o)鑷� β鍙楅珨灏嶆鎬ц倢鍔涜棩鐗╁弽鎳�(y墨ng)鎬ф笡寮�;
銆€銆€3.鐢变簬钘ョ墿鏄潪閬告搰鎬ч樆 β鍙楅珨闃绘柗钘�锛岄倓鍙互闃绘柗绐佽Ц鍓嶈啘 β鍙楅珨锛屾姂鍒禢A閲嬫斁;
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銆€銆€[鑷ㄥ簥鎳�(y墨ng)鐢╙
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銆€銆€2.浼存湁鍝枠銆佷綆琛€澹撱€佸績鍕曢亷绶� (蹇冪巼<60娆�/min=銆佲叀搴︿互涓婃埧瀹ゅ偝灏�(d菐o)闃绘化鎮h€�;
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