由于心力衰竭的病因不同,治疗方法也不同,心力衰竭在常规治疗的同时,应注意把握选择细胞治疗时机。
(1)适应证:①冠心病反复发生心脏缺血表现,药物不能生效,可以选择细胞治疗;②心肌梗死患者及时选择细胞治疗;③风湿性心脏病有明显风湿活动征象,及早进行细胞治疗;④扩张型心肌病心力衰竭在常规治疗未获效果,可以选择细胞治疗。
(2)禁忌证:除总体细胞治疗禁忌证外(细胞治疗的总体禁忌证请参阅第一章细胞治疗相关知识16题),再加心力衰竭本身的禁忌证。①系先天性心脏病导致心力衰竭者;②系糖原贮积症心肌受累导致心力衰竭者;③风湿性心脏病的心脏瓣膜变形或瓣膜钙化明显等。
(3)注意事项:①接受细胞治疗的患者需要长期随访;②进行合理的康复运动,如散步、打太极拳等舒缓的运动。
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