左心衰与右心衰的区别你晓得？
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">A.左心衰</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（一）症状</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.程度不同的<span style="color: black;">呼气</span>困难</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">I.劳力性<span style="color: black;">呼气</span>困难最早<span style="color: black;">显现</span>的症状。<span style="color: black;">导致</span><span style="color: black;">呼气</span>困难的运动量随心衰程度加重而减少。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">II.端坐<span style="color: black;">呼气</span>肺淤血到<span style="color: black;">必定</span>程度，<span style="color: black;">病人</span><span style="color: black;">不可</span>平卧。高枕位，半卧位<span style="color: black;">或</span>端作可使憋气好转。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">III.夜间阵发性<span style="color: black;">呼气</span>困难<span style="color: black;">病人</span>已入睡后因憋气而惊醒，被迫采取坐位，<span style="color: black;">呼气</span>深快，重者可有啸鸣音，<span style="color: black;">叫作</span>“心源性哮喘”。大多端坐<span style="color: black;">休憩</span>后可<span style="color: black;">自动</span>缓解。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">IV.急性肺水肿心源性哮喘进一步的发展，是左心衰<span style="color: black;">呼气</span>困难最严重的形式。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.咳嗽、咯痰、咯血<span style="color: black;">起始</span><span style="color: black;">平常</span>于夜间<span style="color: black;">出现</span>，坐位或立位咳嗽可减轻，白色浆液性<span style="color: black;">泡泡</span>状痰为其特点。偶可见痰中带血。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.乏力、疲倦、头昏、心慌</p>4.少尿及肾功能损害的症状
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">二）体征</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.肺部湿性罗音随病情由轻到重，罗音可由局限于肺底直至全肺，<span style="color: black;">病人</span>取侧卧位则垂的<span style="color: black;">一边</span>罗音较多。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.心脏体征除<span style="color: black;">基本</span>心脏病的固有体征外，慢性左心衰的<span style="color: black;">病人</span><span style="color: black;">通常</span>均有心脏扩大（单纯舒张性心衰除外），肺动脉瓣区S2亢进及舒张期奔马律。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">B.右心衰</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（一）症状</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.消化道症状胃肠道及肝淤血<span style="color: black;">导致</span>腹胀，食欲不振，恶心，呕吐</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.劳力性<span style="color: black;">呼气</span>困难继发于左心衰的右心衰<span style="color: black;">呼气</span>困难业已存在，单纯性右心衰<span style="color: black;">亦</span>均有<span style="color: black;">显著</span>的<span style="color: black;">呼气</span>困难。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（二）体征</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.水肿特征为<span style="color: black;">首要</span><span style="color: black;">显现</span>于身体最低垂的部位，常为对<span style="color: black;">叫作</span>性可压陷性。可有胸腔积液。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.颈静脉征颈静脉搏动<span style="color: black;">加强</span>，充盈，怒张，是右心衰的<span style="color: black;">重点</span>体征，肝颈反流征阳性更具特征。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.肝大常伴有压痛，<span style="color: black;">连续</span>慢性右心衰可致心源性肝硬化，晚期可<span style="color: black;">显现</span>黄疸和大量腹水。</p>4.心脏体征除<span style="color: black;">基本</span>心脏病的固有体征外，可<span style="color: black;">显现</span>三尖瓣关闭不全的反流性杂音。
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">——完——</p>
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