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lbk60ox 发表于 2024-6-1 18:43:41

心力衰尽能治好吗？

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心力<span style="color: black;">衰尽</span>是因<span style="color: black;">各样</span>心脏结构或功能性<span style="color: black;">疾患</span><span style="color: black;">引起</span>心室充盈和(或)射而功能受损，心排而量<span style="color: black;">不可</span>满足机体组织代谢<span style="color: black;">必须</span>，<span style="color: black;">导致</span><span style="color: black;">呼气</span>困难、踝部肿胀等表现<span style="color: black;">病人</span>治疗的<span style="color: black;">目的</span>是改善临床状态、生活质量。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【<span style="color: black;">平常</span>症状】</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">乏力疲倦 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">气促 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">颈静脉怒张 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">端坐<span style="color: black;">呼气</span> </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝脾大 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">夜间阵发性<span style="color: black;">呼气</span>困难</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">水肿(小腿、脚踝对<span style="color: black;">叫作</span>凹陷性)</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">劳力性<span style="color: black;">呼气</span>困难 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">食欲下降、厌食（不典型）</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">认识</span>模糊 (多见于老年人) </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【<span style="color: black;">平常</span>诱因】</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">感染 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心率</span>失常 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血容量<span style="color: black;">增多</span> </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">过度体力消耗</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【自我保健<span style="color: black;">办法</span>】</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">健康<span style="color: black;">膳食</span>方式:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多吃蔬菜<span style="color: black;">果蔬</span>，全谷类<span style="color: black;">食品</span>；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">低盐低脂<span style="color: black;">膳食</span>(Na&lt;2.3 g/天)；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">适当饮水(<span style="color: black;">按照</span>出汗量、尿量进行调节)。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">保持适宜体重:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重视</span>检测体重(健康的身体，质量指数在18.5~24.9 <span style="color: black;">公斤</span>/m)；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">适当运动(强度需咨询<span style="color: black;">大夫</span>)。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">脱离不良习惯:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">戒烟；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">戒酒或<span style="color: black;">掌控</span>饮酒量(酒精&lt;17 g/天)；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">保持充足<span style="color: black;">睡觉</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">掌控</span><span style="color: black;">危害</span><span style="color: black;">原因</span>:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">监测血压(&lt;140/90 mmHg)；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">监测血糖(&lt;6.1 mmol/L)；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">避免<span style="color: black;">呼气</span>道感染、肺炎。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">若症状加重或<span style="color: black;">没</span>改善，<span style="color: black;">意见</span><span style="color: black;">即时</span>前往医院<span style="color: black;">看病</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">去医院前做好如下准备，有助于<span style="color: black;">大夫</span>快速<span style="color: black;">认识</span>病情:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">显现</span>了<span style="color: black;">那些</span>症状，及其<span style="color: black;">连续</span>时间；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">症状是<span style="color: black;">连续</span>的还是反复<span style="color: black;">显现</span>；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">症状有<span style="color: black;">没</span>加重；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么<span style="color: black;">状况</span>下症状会加重；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">可否</span>有心脏病/心脏病<span style="color: black;">爆发</span>的家族史；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">可否</span><span style="color: black;">身患</span>高血压/糖尿病/胆固醇水平过高。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【<span style="color: black;">看病</span>时需<span style="color: black;">检测</span>】</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心肺听诊 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血液<span style="color: black;">检测</span> </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心电图 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胸部X光 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">超声心动图:<span style="color: black;">评定</span>心功能和判断病因。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放射性核素检:准确<span style="color: black;">评估</span>心脏<span style="color: black;">体积</span>和射血分数。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">运动压力测试: <span style="color: black;">帮忙</span>确定适合的运动类型和强度。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗<span style="color: black;">能够</span>改善心脏泵血并缓解症状,但<span style="color: black;">不可</span>完全治愈。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一般</span>为<span style="color: black;">药品</span>治疗:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">若<span style="color: black;">不可</span>耐受ACEI，可改用血管紧张素Ⅱ受体拮抗剂(ARB)。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血管紧张素转换:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">酶<span style="color: black;">控制</span>剂(ACEI):</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">扩张血管，降低血压，改善血液流动。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">β-受体阳滞剂: </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">减少心脏做功，降血压，减缓心跳加速 。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">地高辛:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">加强心脏肌肉收缩。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">利尿剂:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">掌控</span>体液潴留(需监测血钾水平)。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同程度心衰的治疗方式:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">射血分数<span style="color: black;">保存</span>(EF≥50%)心衰:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗原发病；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">运用</span>利尿剂缓解器官淤血。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">射血分数降低 (EF≤40%)心衰: </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">利尿剂； </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">ACEI或ARB；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">β-受体阻滞剂。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">非<span style="color: black;">药品</span>治疗:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心脏再同步化治疗:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">适用于已接受最佳<span style="color: black;">药品</span>治疗仍<span style="color: black;">连续</span>存在心衰、左心室射血分数≤35%，窦性节律时心脏不同步的<span style="color: black;">病人</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心脏移植:适用于顽固性心力<span style="color: black;">衰尽</span>。</p>

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m5k1umn 发表于 2024-9-26 06:16:25

感谢楼主的分享！我学到了很多。

4lqedz 发表于 2024-10-13 20:26:59

楼主的文章非常有意义，提升了我的知识水平。

nqkk58 发表于 2024-11-8 01:09:42

一看到楼主的气势，我就觉得楼主同在社区里灌水。

4zhvml8 发表于 5 天前

论坛的成功是建立在我们诚恳、务实、高效、创新和团结合作基础上，我们要把这种精神传递下去。

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