4zhvml8 发表于 2024-6-5 19:33:05

临床上极为平常的左心衰竭


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/0jTwgqnSGQwdyTicDE0YUv3oI2IRMW58EwvIFVfVmkhicRzeBdGVef5N8QCe7ul1Jxors1qLGhKs1SZJiaWibPxfOA/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">左心衰竭<span style="color: black;">指的是</span>左心室代偿功能不全而<span style="color: black;">出现</span>的心力衰竭，临床上极为<span style="color: black;">平常</span>，以肺循环淤血为<span style="color: black;">重点</span>特征。左心衰竭分为急性左心衰竭和慢性左心衰竭。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">慢性左心衰竭（CHF）是大<span style="color: black;">都数</span>心血管<span style="color: black;">疾患</span>的<span style="color: black;">最后</span>归宿，<span style="color: black;">亦</span>是最<span style="color: black;">重点</span>的死亡<span style="color: black;">原由</span>。急性左心衰竭（AHF）是<span style="color: black;">因为</span><span style="color: black;">忽然</span><span style="color: black;">出现</span>心脏结构和功能的<span style="color: black;">反常</span>，<span style="color: black;">引起</span>短期内心排血量<span style="color: black;">明显</span>，急剧降低，组织器官灌注不足和急性淤血<span style="color: black;">综合症</span>。（<span style="color: black;">源自</span>：百科名医）</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/icLE8aom4AvqhsiaiciaibUNUSTCblc4Ntju5xRKf8aOqNRcRh0WvNYrZicLGDaTW6h2xbCHtlACQBvVoRhkQIJO8gfg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">0<span style="color: black;">1</span><strong style="color: blue;"><span style="color: black;">左心衰竭的<span style="color: black;">归类</span></span></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">左心衰大致可分为射血分数降低心衰(HFREF)和射血分数正常或保<span style="color: black;">留意</span>衰(HFNEF或HFPEF)。舒张性心衰(DHF)的提法与HFNEF或HFPEF近似但不完全相同,后者<span style="color: black;">包括</span>了收缩性心衰(SHF)。<span style="color: black;">另外</span>,DHF与舒张功能不全(DD)概念基本相同,但后者<span style="color: black;">包含</span>了<span style="color: black;">没</span>症状性心衰。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/icLE8aom4AvqhsiaiciaibUNUSTCblc4Ntju5EBOAsUAvE338PJnaXlDksK4W5NTJw1NBzyF94StZkibL8yl5qfAkgqA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">左心衰竭合并肺高压诊治<span style="color: black;">科研</span>近况</a></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">心力衰竭网 2016-04-14</a></p>02<strong style="color: blue;"><span style="color: black;">左心衰竭的临床表现有<span style="color: black;">那些</span>？</span></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">(一)<span style="color: black;">呼气</span>困难</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">(二)咳嗽和咯血</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">(三)其它</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可有疲乏<span style="color: black;">没</span>力、失眠、心悸等。严重脑缺氧时可<span style="color: black;">显现</span>陈一斯氏<span style="color: black;">呼气</span>，嗜睡、眩晕，<span style="color: black;">认识</span>丧失，抽搐等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">(四)体征</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除原有心脏病体征外，心尖区可有舒张期奔马律，肺动脉瓣听诊区第二心音亢进，两肺底部可听到散在湿性罗音，重症者两肺满布湿罗音并伴有哮鸣音，常<span style="color: black;">显现</span>交替脉。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">源自</span>：</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">左心衰竭的临床表现有<span style="color: black;">那些</span>？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2013-12-02 20:14:23</span></p>03<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">急性左心衰的<span style="color: black;">初期</span>表现</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心功能正常的<span style="color: black;">病人</span><span style="color: black;">显现</span><span style="color: black;">原由</span>不明的疲乏或运动耐力<span style="color: black;">显著</span>减低，以及心率<span style="color: black;">增多</span>15～20次/min，可能是左心功能降低的最<span style="color: black;">初期</span>征兆。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">继续发展可<span style="color: black;">显现</span>劳力性<span style="color: black;">呼气</span>困难、夜间阵发性<span style="color: black;">呼气</span>困难、<span style="color: black;">不可</span>平卧等；<span style="color: black;">检测</span>可<span style="color: black;">发掘</span>左心室增大、舒张<span style="color: black;">初期</span>或中期奔马律、P2亢进、两肺尤其肺底部有湿啰音，还可有干啰音<span style="color: black;">乃至</span>哮鸣音，提示已有左心功能<span style="color: black;">阻碍</span>。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/icLE8aom4AvqhsiaiciaibUNUSTCblc4Ntju5EBOAsUAvE338PJnaXlDksK4W5NTJw1NBzyF94StZkibL8yl5qfAkgqA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">全国心衰日：一文读懂遇到急性左心衰的<span style="color: black;">病人</span>该怎么办？</a></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">心<span style="color: black;">期盼</span>快讯 2017-11-24</a></p>04<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">慢性左心衰竭的<span style="color: black;">重点</span>表现</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">慢性左心衰竭在临床表现上一<span style="color: black;">起始</span><span style="color: black;">重点</span>表现为活动后的乏力，再<span style="color: black;">便是</span>活动后的心悸、气喘，这种<span style="color: black;">状况</span>最为<span style="color: black;">平常</span>，<span style="color: black;">重点</span>是活动耐力下降，比方说以前能够一口气爬五楼，<span style="color: black;">然则</span><span style="color: black;">此刻</span>的话一口气爬五楼，会<span style="color: black;">显现</span><span style="color: black;">显著</span>的疲乏、<span style="color: black;">没</span>力、胸闷、气喘，随着左心衰竭的进一步加重，<span style="color: black;">病人</span>的胸闷气喘症状，<span style="color: black;">亦</span><span style="color: black;">便是</span>说肺循环瘀血的症状会更加<span style="color: black;">显著</span>，有可能会<span style="color: black;">显现</span>夜间阵发性<span style="color: black;">呼气</span>困难、端坐<span style="color: black;">呼气</span>，严重的有可能会<span style="color: black;">显现</span>咳嗽，咳粉红色<span style="color: black;">泡泡</span>痰，活动耐力<span style="color: black;">显著</span>下降。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>慢性左心衰竭产生的<span style="color: black;">原由</span>有可能是高血压性心脏病、缺血性心肌病还有<span style="color: black;">便是</span>心肌病、心脏瓣膜病、先天性心脏病都有可能会<span style="color: black;">导致</span>慢性左心衰竭。<span style="color: black;">针对</span>这种<span style="color: black;">状况</span><span style="color: black;">首要</span>应该积极的寻找病因针对病因治疗。<span style="color: black;">另一</span>，对于左心衰竭的<span style="color: black;">状况</span><span style="color: black;">必定</span>要注重强心利尿扩血管来治疗，逆转心室重构，平时<span style="color: black;">重视</span>预防感染，避免<span style="color: black;">心情</span>激动<span style="color: black;">疲劳</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">源自</span>：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">慢性左心衰竭的<span style="color: black;">重点</span>表现</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2018-07-30</span></p>05<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">急性心力衰竭的治疗原则</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">减轻心脏前后负荷、改善心脏收缩与舒张功能、积极去除诱因以及治疗原发病变；若危及生命，对疑诊急性心力衰竭的<span style="color: black;">病人</span>，在完善<span style="color: black;">检测</span>的<span style="color: black;">同期</span>即应<span style="color: black;">起始</span><span style="color: black;">药品</span>和非<span style="color: black;">药品</span>治疗。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/icLE8aom4AvqhsiaiciaibUNUSTCblc4Ntju5EBOAsUAvE338PJnaXlDksK4W5NTJw1NBzyF94StZkibL8yl5qfAkgqA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">急性左心衰竭的社区急救</a></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">中国社区医师杂志 2018-12-26</a></p><img src="https://mmbiz.qpic.cn/mmbiz_png/0jTwgqnSGQxZ1bWyWf8PYwIatUzDAbGqN9IZRx5hg85hmUl6xAe3YEgCeeicCyG4cGzfwibmcodNNBBpo1rfhlgA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">平时工作忙，身体出问题没空<span style="color: black;">看病</span>？大医院问诊难，约不到专家？<span style="color: black;">药物</span>信息<span style="color: black;">不足</span><span style="color: black;">知道</span>，难以自选<span style="color: black;">药品</span>？心名家在线App，一个集问诊、咨询、科普于一身的心血管专科医疗平台，您的掌上心血管顾问。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">IOS用户可在AppStore直接搜索下载。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">Android用户可在应用宝搜索下载，应用宝下载请扫描下方二维码：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/0jTwgqnSGQxZ1bWyWf8PYwIatUzDAbGqS58Dic5VgvEP9JMicCNnZWIFh11KQGjZHC55uwibo8bNVNVd1lrqaEwUQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/0jTwgqnSGQxFfMtWXfgUPXKeiat85SUexYQDicCgnMiaGpOmwvLpgiaNZWmljQFnLdshFon44EdzMiadbtblx28X4lg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>




wrjc1hod 发表于 2024-11-12 15:57:36

你的话深深触动了我，仿佛说出了我心里的声音。

m5k1umn 发表于 7 天前

我完全赞同你的观点，思考很有深度。
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