论文部分内容阅读
心力衰竭(心衰)是由于各种器质性心脏病在诱因的影响下,心脏丧失代偿能力,导致心输出量绝对或相对减少,而不能适应全身组织器官代谢需要的一个独立临床综合征。诊断一、隐性心衰:在未发生体静脉或肺静脉淤血时,左或右心房压力已经升高。在原有心脏病或心脏增大的基础上,出现以下任何一项而又无其它原因可解释。①冠心病或心肌炎(病)患者,在一般体力活动时出现心悸或//和气紧,②任何心脏病者,夜间气紧或/和高枕位,③尿量减少而体重增加;④两肺底呼吸音较前减弱;⑤出现交替脉;⑥颈静脉搏动增强;⑦舒张期奔马律;⑧心电图上V_1终末电压阳性;⑨胸片显示肺静脉纹理增粗或Kerley B线。二、心衰的诊断标准:主要标准有①阵发性呼吸困难;②颈静脉怒张;③两肺底罗音,④心脏扩大;⑤急性肺水肿;⑥奔马律;⑦静脉压升高。次
Heart failure (heart failure) is due to a variety of organic heart disease under the influence of incentives, the loss of compensatory heart, leading to absolute or relative decrease in cardiac output, and can not adapt to the body tissue and organ metabolism needs an independent clinical syndrome . Diagnosis of a recessive heart failure: in the absence of venous or pulmonary venous congestion, left or right atrial pressure has increased. On the basis of the original heart disease or heart enlargement, any one of the following occurs without any other explanation. ① patients with coronary heart disease or myocarditis (heart disease) in general physical activity palpitations or // and gas tight, ② any heart disease, nocturnal air tight and / or high pillow, ③ reduce the amount of urine and weight gain; Breath sounds earlier weakened; ⑤ appear alternating pulse; ⑥ jugular vein pulse increased; ⑦ diastolic gallop; ⑧ ECG V_ terminal voltage positive; ⑨ chest radiograph showed pulmonary venous texture thickening or Kerley B line. Second, the diagnostic criteria of heart failure: the main criteria are ① paroxysmal dyspnea; ② jugular vein distention; ③ two lungs bottom rales, ④ heart enlargement; ⑤ acute pulmonary edema; galloping law; ⑦ venous pressure . Times