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急性心力衰竭(简称急性心衰)系指由于心脏的急性舒缩功能障碍而引起心排血量急剧下降,甚至丧失排血功能,导致急性体循环或/和肺循环淤血和周围组织灌注不足的临床综合征。临床上以急性左心衰较常见,主要表现为急性肺水肿,严重者可表现为心源性休克、昏厥、心脏骤停。急性右心衰较少见,可发生于急性右室心肌梗死和大块肺栓塞引起的急性肺源性心脏病。本文主要讨论急性左心衰、心源性肺水肿的现代治疗。
Acute heart failure (acute heart failure) refers to the acute cardiac systolic and diastolic dysfunction caused by a sharp decline in cardiac output, and even loss of blood flow, leading to acute systemic circulation or / and pulmonary circulation congestion and peripheral tissue perfusion clinical syndrome Levy Clinical acute left heart failure is more common, mainly as acute pulmonary edema, severe cases can be manifested as cardiogenic shock, fainting, cardiac arrest. Acute right heart failure is less common and can occur in acute pulmonary heart disease due to acute right ventricular myocardial infarction and massive pulmonary embolism. This article discusses the modern treatment of acute left heart failure, cardiogenic pulmonary edema.