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一、对慢型克山病的认识临床上表现有充血性心力衰竭的克山病,即为慢性克山病,诊断慢型克山病必需具备心脏的扩大。因为慢型克山病在其失代偿之前有通过心脏的增大和扩张来代偿的过程,故没有心脏不大的慢型。慢型克山病依心脏功能失代偿程度分为二级、三级及四级。慢型克山病,其心力衰竭同一般心肌病、心辨膜病的慢性心功能不全相同,是低排血量的心力衰竭。其心功不全的发病机制是属于能量转换(化学能转变为机械能)障碍,即心脏收缩蛋白actomycin功能的异常。而洋地黄对此种心功不全起作用,慢型
First, the understanding of chronic Keshan disease Clinical manifestations of Keshan disease with congestive heart failure, that is chronic Keshan disease, the diagnosis of chronic Keshan disease must have the expansion of the heart. Because chronic Keshan disease in its decompensation by the increase and expansion of the heart to compensate for the process, so there is no modest slow heart. Slow Keshan disease according to the degree of cardiac decompensation is divided into two, three and four. Slow Keshan disease, its heart failure with the same general cardiomyopathy, cardiomyopathy, chronic heart failure the same, is a low row of heart failure. The pathogenesis of heart failure is a disorder of energy conversion (chemical energy into mechanical energy), that is abnormalities of actomycin function of the cardiac contractile protein. And digitalis work on such heart failure, slow