心衰能够治愈么(ღ˘⌣˘ღ)
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在现实生活中有些人<span style="color: black;">患病</span>了，有些人听说了是心衰就感觉很可怕，有些人觉得心衰<span style="color: black;">能够</span>完全自愈，可能是<span style="color: black;">由于</span>对<span style="color: black;">疾患</span>的错误认识，心衰是不会完全自愈的，下面我就带<span style="color: black;">大众</span>来一下什么是心衰以及心衰的治疗：</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-0ba9a5e20788666dd3bffa9243fb0532_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;">心力衰竭(heart failure)简<span style="color: black;">叫作</span>心衰，<span style="color: black;">指的是</span><span style="color: black;">因为</span>心脏的收缩功能和(或)舒张功能<span style="color: black;">出现</span><span style="color: black;">阻碍</span>，<span style="color: black;">不可</span>将静脉回心血量充分排出心脏，<span style="color: black;">引起</span>静脉系统血液淤积，动脉系统血液灌注不足，从而<span style="color: black;">导致</span>心脏循环<span style="color: black;">阻碍</span>症候群，此种<span style="color: black;">阻碍</span>症候群集中表现为肺淤血、腔静脉淤血。心力衰竭并不是一个独立的<span style="color: black;">疾患</span>，而是心脏<span style="color: black;">疾患</span>发展的终末<span style="color: black;">周期</span>。其中绝大<span style="color: black;">都数</span>的心力衰竭都是以左心衰竭<span style="color: black;">起始</span>的，即<span style="color: black;">首要</span>表现为肺循环淤血。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗心力衰竭<span style="color: black;">病人</span>的目的是改善生活质量和延长寿命，并防止临床<span style="color: black;">综合症</span>的<span style="color: black;">发展</span>。<span style="color: black;">因此呢</span>，心力衰竭的治疗<span style="color: black;">必要</span>采取<span style="color: black;">长时间</span>的综合性治疗<span style="color: black;">办法</span>，<span style="color: black;">包含</span>对原发<span style="color: black;">疾患</span>的病因和诱因的治疗、<span style="color: black;">护理</span>神经体液因子的过度激活及改善心室功能等，达到<span style="color: black;">加强</span>运动耐量，改善生活质量、防止左室进行性扩大、纠正血流动力学<span style="color: black;">反常</span>、缓解症状及降低死亡率等目的。对不同病人的治疗<span style="color: black;">方法</span>的制定要按心力衰竭不同的临床<span style="color: black;">周期</span>并<span style="color: black;">重视</span>个体化。<span style="color: black;">没</span>症状者应预防<span style="color: black;">疾患</span>的<span style="color: black;">发展</span>，如<span style="color: black;">掌控</span>高血压，心肌梗死后、二尖瓣及主动脉瓣关闭不全<span style="color: black;">病人</span>血管紧张素转换酶<span style="color: black;">控制</span>剂的应用。治疗症状性心力衰竭先用相对简单的<span style="color: black;">办法</span>。如<span style="color: black;">初期</span><span style="color: black;">休憩</span>、限制工作强度和时间、限钠盐，<span style="color: black;">初期</span>症状<span style="color: black;">能够</span>用ACEI，剂量<span style="color: black;">逐步</span><span style="color: black;">增多</span>到标准剂量。<span style="color: black;">倘若</span>心力衰竭的临床表现<span style="color: black;">连续</span>或复发，再逐步用更严格和更强有力的治疗<span style="color: black;">办法</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-7e9274231b5f121d58d7f877088914d8_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;"><span style="color: black;">1、</span>病因治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.去除基本病因：如高血压和甲状腺功能亢进的<span style="color: black;">药品</span><span style="color: black;">掌控</span>，<span style="color: black;">经过</span>介入或冠状动脉旁路手术改善冠心病心肌缺血，心脏瓣膜病瓣膜置换和先天性心血管畸形的纠正手术等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.去除诱发<span style="color: black;">原因</span>;最<span style="color: black;">平常</span>诱因是感染、<span style="color: black;">心率</span>失常、肺梗死、贫血及水电解质<span style="color: black;">错乱</span>等<span style="color: black;">原因</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、</span>难治性心力衰竭的治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">充血性心力衰竭的<span style="color: black;">病人</span>，经过<span style="color: black;">恰当</span>的强心剂、利尿剂及XN管扩张剂等<span style="color: black;">药品</span>治疗均<span style="color: black;">没</span>效而<span style="color: black;">连续</span>恶化，<span style="color: black;">叫作</span>难治性心力衰竭。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">(1)难治性心力衰竭的判定</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.重新<span style="color: black;">评估</span>心脏病病因诊断<span style="color: black;">可否</span>正确，如有<span style="color: black;">没</span>缩窄性心包炎、甲状腺功能亢进及严重贫血等;或单纯性好张性心力衰竭却按收缩性心力衰竭治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.心力衰竭诊断<span style="color: black;">可否</span>正确，避免把肝源性水肿、肾源性水肿及心包积液等误诊为心力衰竭而延误治疗;</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-7ac449fada8376bf5dc667e9a1fd4330_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;">3.心力衰竭诱因<span style="color: black;">可否</span>除</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4.治疗<span style="color: black;">办法</span><span style="color: black;">可否</span><span style="color: black;">恰当</span>，如经过<span style="color: black;">仔细</span>分析和改进治疗，心力衰竭仍<span style="color: black;">没</span>改善时，<span style="color: black;">才可</span>确定为难治性心力衰竭。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">(2)准治性心力衰竭的治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.针对以上分析<span style="color: black;">导致</span>难治性心力衰竭的<span style="color: black;">原由</span>和诱因采取相应的治疗<span style="color: black;">办法</span>予以纠正;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.<span style="color: black;">恰当</span><span style="color: black;">运用</span>洋地黄粪正兴肌力药，或硝普6q与多巴胺或多巴酚丁胺联合应用，<span style="color: black;">也</span>可用氨力农或米力农;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.<span style="color: black;">各样</span>利尿剂的联合应用，或需大剂量、或静脉注射快速强效利尿剂;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4.AcEI齐难治性心衰治疗中的价值已<span style="color: black;">非常</span>肯定，应<span style="color: black;">即时</span><span style="color: black;">选择</span>;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5.经常规疗法强化治疗<span style="color: black;">没</span>效时，按病情可<span style="color: black;">选择</span>特殊疗法：如采用人丁<span style="color: black;">呼气</span>机呼气未正压通气、心脏电复律与人工心脏起搏器、透析疗法(腹膜超滤或血液超滤法)、机械辅助循环(主动脉内气裳反博等)及心脏移植等<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">经过</span>以上的介绍我想各位对心衰<span style="color: black;">能够</span>完全自愈吗有了<span style="color: black;">必定</span>的<span style="color: black;">认识</span>，祝您健康。</p>
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