左心衰尽和右心衰尽有什么区别
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/SicDYgpsGpxNTDKibiaP4CtJiaRaU7iaApwvAfnFPl3RdDVn5icnFncWAuyEMeomcsSDQwNWtcuHttw2icyzBBFlOwDQQ/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=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;">心性哮喘与支气管哮喘的鉴别前者多见于中年以上，有心脏病史及心脏增大等体征，常在夜间<span style="color: black;">爆发</span>，肺部可闻干、湿罗音，对强心剂有效;而后者多见于青少年，<span style="color: black;">没</span>心脏病史及心脏体征，常在春秋季<span style="color: black;">爆发</span>，有过敏史，肺内满布哮鸣音，对麻黄素，肾上腺皮质激素和氨茶硷等有效。右心<span style="color: black;">衰尽</span>与心包积液、缩窄性心包炎等的鉴别三者均可<span style="color: black;">显现</span>肝脏肿大，腹水、但右心<span style="color: black;">衰尽</span>多伴有心脏杂音或肺气肿，心包积液时扩大的心浊音界可随体位而变动，心音遥远，<span style="color: black;">没</span>杂音，有奇脉;缩窄性心包炎心界不大或稍大，<span style="color: black;">没</span>杂音，有奇脉。临床上还需对左心<span style="color: black;">衰尽</span>、右心<span style="color: black;">衰尽</span>和全心<span style="color: black;">衰尽</span>作一个鉴别诊断，心力<span style="color: black;">衰尽</span>的临床表现与何侧心室或心房受累有密切关系。左心<span style="color: black;">衰尽</span>的临床特点<span style="color: black;">重点</span>是<span style="color: black;">因为</span>左心房和(或)右心室<span style="color: black;">衰尽</span><span style="color: black;">导致</span>肺瘀血、肺水肿;而右心<span style="color: black;">衰尽</span>的临床特点是<span style="color: black;">因为</span>右心房和(或)右心室<span style="color: black;">衰尽</span><span style="color: black;">导致</span>体循环静脉瘀血和水钠潴留。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 1、左心<span style="color: black;">衰尽</span>(1)<span style="color: black;">呼气</span>困难:是左心<span style="color: black;">衰尽</span>的早和<span style="color: black;">平常</span>的症状。<span style="color: black;">重点</span><span style="color: black;">因为</span>急性或慢性肺瘀血和肺活量减低所<span style="color: black;">导致</span>。阵发性夜间<span style="color: black;">呼气</span>困难是左心<span style="color: black;">衰尽</span>的一种表现，<span style="color: black;">病人常在熟睡中憋醒，有窒息感，被迫坐起，咳嗽频繁，<span style="color: black;">显现</span>严重的<span style="color: black;">呼气</span>困难</span>。(2)咳嗽和咯血:是左心<span style="color: black;">衰尽</span>的<span style="color: black;">平常</span>症状。(3)其它:可有疲乏<span style="color: black;">没</span>力、失眠、心悸等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、右心<span style="color: black;">衰尽</span>(1)上腹部胀满：是右心<span style="color: black;">衰尽</span>较早的症状。常伴有食欲不振、恶心、呕吐及上腹部胀痛。(2)颈静脉怒张：是右心<span style="color: black;">衰尽</span>的一个较<span style="color: black;">显著</span>征象。(3)水肿：心衰性水肿多先见于下肢，呈凹陷性水肿，重症者可波及全身，下肢水肿多于傍晚<span style="color: black;">显现</span>或加重，<span style="color: black;">休憩</span><span style="color: black;">一晚上</span>后可减轻或消失。(4)紫绀：右心<span style="color: black;">衰尽</span>者多有不同程度的紫绀。(5)神经系统症状：<span style="color: black;">可有神经过敏，失眠，嗜睡等症状</span>。(6)心脏体征：<span style="color: black;">重点</span>为原有心脏病表现。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 3、全心<span style="color: black;">衰尽</span>：可<span style="color: black;">同期</span>存在左、右心<span style="color: black;">衰尽</span>的临床表现，<span style="color: black;">亦</span><span style="color: black;">能够</span>左或右心<span style="color: black;">衰尽</span>的临床表现为主。</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/SicDYgpsGpxMT9icRuqrDV3UyJMkLicz3iafibGzTMksK4yrGLHuLGaCibzvsbmFCMXyw4jm7t3JbfD1FibBQurF5MiaiaA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
这夸赞甜到心里，让我感觉温暖无比。 感谢楼主的分享！我学到了很多。
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