临床笔记|左心衰VS右心衰，这些体征你都晓得吗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心衰是<span style="color: black;">因为</span>冠心病、风心病、心肌病等<span style="color: black;">各样</span><span style="color: black;">原由</span><span style="color: black;">功效</span>下，<span style="color: black;">引起</span>心肌<span style="color: black;">没</span>法正常收缩和舒张进行血液循环，<span style="color: black;">最后</span><span style="color: black;">导致</span>肺部或身体静脉淤血的一种临床<span style="color: black;">综合症</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span><span style="color: black;">出现</span>部位<span style="color: black;">通常</span>分为左心衰和右心衰，那它们<span style="color: black;">详细</span>的区别点是什么呢？</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-6a769fa5b0e9ac93a576c302376d2538_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">01</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">症 状</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">左心衰</p>大<span style="color: black;">都数</span>左心衰<span style="color: black;">病人</span>是<span style="color: black;">因为</span>运动耐力下降<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难或乏力而<span style="color: black;">看病</span>，这些症状可在<span style="color: black;">休憩</span>或运动时出现。<span style="color: black;">呼气</span>困难是左心衰最<span style="color: black;">重点</span>的症状，可表现为劳力性<span style="color: black;">呼气</span>困难、端坐<span style="color: black;">呼气</span>、阵发性夜间<span style="color: black;">呼气</span>困难等多种形式。运动耐力下降、乏力为骨骼肌血供不足的表现。
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-aa1e54df1e9e6c37c9a2d53bd9629d9d_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右心衰</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重点</span>表现为慢性<span style="color: black;">连续</span>性淤血<span style="color: black;">导致</span>的各脏器功能改变，<span style="color: black;">病人</span><span style="color: black;">显现</span>腹部或腿部水肿，并以此为首要或惟一症状而<span style="color: black;">看病</span>，运动耐量损害是<span style="color: black;">逐步</span><span style="color: black;">出现</span>的，可能未<span style="color: black;">导致</span><span style="color: black;">病人</span><span style="color: black;">重视</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-6420290fdad0aa5c33c508801a1366ce_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">02</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">体 征</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">左心衰</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.肺部湿性罗音随病情由轻到重，罗音可由局限于肺底直至全肺，<span style="color: black;">病人</span>取侧卧位则垂的<span style="color: black;">一边</span>罗音较多。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.心脏体征除<span style="color: black;">基本</span>心脏病的固有体征外，慢性左心衰的<span style="color: black;">病人</span><span style="color: black;">通常</span>均有心脏扩大（单纯舒张性心衰除外），肺动脉瓣区S2亢进及舒张期奔马律。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-beca04898f9b844ee8cf19477a8d7a23_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右心衰</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.水肿特征为<span style="color: black;">首要</span><span style="color: black;">显现</span>于身体最低垂的部位，常为对<span style="color: black;">叫作</span>性可压陷性。可有胸腔积液。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.颈静脉征颈静脉搏动<span style="color: black;">加强</span>，充盈，怒张，是右心衰的<span style="color: black;">重点</span>体征，肝颈反流征阳性更具特征。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.肝大常伴有压痛，<span style="color: black;">连续</span>慢性右心衰可致心源性肝硬化，晚期可<span style="color: black;">显现</span>黄疸和<span style="color: black;">海量</span>腹水。</p>4.心脏体征除<span style="color: black;">基本</span>心脏病的固有体征外，可<span style="color: black;">显现</span>三尖瓣关闭不全的反流性杂音。
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">END</p>
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