wloe2gf 发表于 2024-6-6 08:08:48

左心衰典型症状---夜间阵发性憋气或逐步加重的活动时喘气


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">老赵前两天<span style="color: black;">起始</span>在<span style="color: black;">夜晚</span><span style="color: black;">显现</span>夜间<span style="color: black;">睡觉</span>时<span style="color: black;">显现</span>憋气，要坐起来大口<span style="color: black;">呼气</span>才缓解，连续<span style="color: black;">显现</span>两天后到医院就诊，<span style="color: black;">检测</span><span style="color: black;">发掘</span>左心功能不全（<span style="color: black;">亦</span>叫左心衰），正住院治疗。</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_jpg/iaia57zuIoSnLQnbkkrSWtFOL3kxgDrN4uSTpjQvQDYpj57oCNdhYS6pzwmIxExMibntcut5lzsmgP9zcJccEhU8Q/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>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">左心功能不全</span><span style="color: black;"><span style="color: black;">此刻</span>认为是有多种神经体液因子参与</span><span style="color: black;">所<span style="color: black;">导致</span>的一种</span><span style="color: black;">以左心室射血不足为表现得一组临床<span style="color: black;">综合症</span>。</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;">为何</span>左心功能不全会<span style="color: black;">显现</span>夜间自发性憋气（医学术语叫夜间阵发性呼吸困难）？这是<span style="color: black;">因为</span>当左边心脏<span style="color: black;">因为</span>某种<span style="color: black;">原由</span><span style="color: black;">显现</span>了功能<span style="color: black;">衰退</span>，<span style="color: black;">引起</span>左边心脏射血能力降低，射出的血量减少了。<span style="color: black;">那样</span><span style="color: black;">因为</span>心功能<span style="color: black;">衰退</span><span style="color: black;">无</span>射出的血淤存在哪里呢？与左边心脏相连接的是肺动脉（肺动脉、肺部毛细血管床、肺静脉为肺部血管），<span style="color: black;">因此</span><span style="color: black;">无</span>射出的血淤留肺部的血管床，这<span style="color: black;">便是</span><span style="color: black;">咱们</span><span style="color: black;">一般</span>所说的左心衰<span style="color: black;">诱发</span>了肺淤血，<span style="color: black;">因为</span>肺部淤血，肺部血氧交换相对受阻，加上人在<span style="color: black;">睡觉</span>中，迷走神经的张力<span style="color: black;">升高</span>，小支气管较<span style="color: black;">白日</span><span style="color: black;">处在</span>收缩状态，肺活量<span style="color: black;">亦</span>减少，人的横膈肌<span style="color: black;">亦</span>抬高，<span style="color: black;">引起</span>肺部淤血进一步加重，就<span style="color: black;">显现</span>憋气要坐起来的<span style="color: black;">状况</span>。</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_jpg/iaia57zuIoSnLQnbkkrSWtFOL3kxgDrN4uJywzIoBbXuwO6JGOCRLCqFY78FD7KQW5Kgm04hwxtrfj3zibhoB3icuA/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>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">随着活动量的<span style="color: black;">增多</span>，<span style="color: black;">因为</span>左心系统的功能下降使得心输出量<span style="color: black;">不可</span><span style="color: black;">按照</span><span style="color: black;">必须</span>同步<span style="color: black;">增多</span>，左心房的压力就随之<span style="color: black;">上升</span>，肺淤血<span style="color: black;">亦</span>会加重，喘气<span style="color: black;">亦</span>随之加重，这<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">咱们</span><span style="color: black;">一般</span>说的劳力性<span style="color: black;">呼气</span>困难，<span style="color: black;">亦</span><span style="color: black;">便是</span>喘气跟活动<span style="color: black;">关联</span>，活动量越大，喘气越<span style="color: black;">显著</span>。<span style="color: black;">因此</span>这个过程是随左心衰的加重而<span style="color: black;">逐步</span>加重，当左心衰严重到<span style="color: black;">必定</span>的程度，即使</span><span style="color: black;">坐着</span><span style="color: black;">不活动，<span style="color: black;">亦</span>会<span style="color: black;">显现</span>喘气，并且喘气还要用力，医学上<span style="color: black;">一般</span>叫做端坐<span style="color: black;">呼气</span>。</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_jpg/iaia57zuIoSnLQnbkkrSWtFOL3kxgDrN4u2o3o1yd6dmib5ic8NNkaT1PXq5KtbrNiayB70Uc8f2w5QEI4mhlJgibrnw/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>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">左心功能不全的人，除了容易<span style="color: black;">显现</span>以上<span style="color: black;">呼气</span>困难之外，很容易<span style="color: black;">显现</span>咳嗽、咳痰、头昏、心慌和乏力等不适感，并且容易合并肺部感染。<span style="color: black;">初期</span>的左心功能不全<span style="color: black;">能够</span><span style="color: black;">无</span>任何不舒服，只是在<span style="color: black;">检测</span>时<span style="color: black;">发掘</span>有左心功能<span style="color: black;">衰退</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">&nbsp;<span style="color: black;">因此</span>一旦<span style="color: black;">发掘</span>有夜间阵发性憋气，<span style="color: black;">或</span><span style="color: black;">逐步</span>加重的活动时就感到喘气，要<span style="color: black;">即时</span>到医院<span style="color: black;">检测</span><span style="color: black;">可否</span>有左心功能不全，<span style="color: black;">以避免</span>耽搁病情。</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_jpg/iaia57zuIoSnLQnbkkrSWtFOL3kxgDrN4uiajzqssaTWelAhMLZYjHpGA3DSrUsP5eQASNPiaFRxpPMYWy8icCflApg/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>
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听听海 发表于 2024-8-31 15:19:56

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m5k1umn 发表于 2024-10-23 00:08:33

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wrjc1hod 发表于 2024-11-16 16:05:06

你的见解真是独到，让我受益匪浅。

m5k1umn 发表于 7 天前

楼主果然英明！不得不赞美你一下！
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