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充血性心力衰竭(CHF)是临床常遇到的课题。慢性CHF 患者经休息、饮食调节、洋地黄和利尿剂治疗无效时称为难治性CHF。为了改善患者的心功能,宜从以下几方面着手:了解基本病因及有关的病理生理变化,评价诊断,鉴别加重CHF 的心外因素和判定治疗方案的合理性,使之趋于完善。一、病因心力衰竭并非是一完整的诊断,应了解导致心衰的基本病因。许多可以经手术治疗彻底解决,如房室间隔缺损、动静脉瘘、缩
Congestive heart failure (CHF) is a common clinical problem. Chronic CHF patients are referred to as refractory CHF when they have had rest, dietary modification, digitalis, and diuretic therapy ineffective. In order to improve the patient’s heart function, should start from the following aspects: to understand the basic etiology and related pathophysiological changes, evaluate the diagnosis, to identify the exacerbation of CHF extracardiac factors and to determine the rationality of treatment options to make it tend to improve. First, the etiology of heart failure is not a complete diagnosis, should understand the basic cause of heart failure. Many can be completely resolved by surgery, such as atrioventricular septal defect, arteriovenous fistula, shrink