论坛 › 天涯杂谈 › 左心衰、右心衰和全心衰各有什么症状表现，应该怎么治疗？

9q13nh 发表于 2024-5-31 15:11:31

左心衰、右心衰和全心衰各有什么症状表现，应该怎么治疗？

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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">左心衰、右心衰和全心衰各有什么症状表现，应该怎么治疗？</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心衰<span style="color: black;">指的是</span><span style="color: black;">因为</span><span style="color: black;">各样</span><span style="color: black;">原由</span><span style="color: black;">导致</span>的心脏功能下降。在西医临床中，<span style="color: black;">按照</span>心衰的位置，<span style="color: black;">能够</span>将其分为</span><strong style="color: blue;"><span style="color: black;">左心衰、右心衰和全心衰</span></strong><span style="color: black;">：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">左心衰<span style="color: black;">指的是</span>左心功能减弱，<span style="color: black;">引起</span>供给全身各部位的血液减少，<span style="color: black;">同期</span>肺部血液<span style="color: black;">增加</span>。</span><span style="color: black;">左心<span style="color: black;">衰尽</span>的<span style="color: black;">平常</span>症状<span style="color: black;">包含</span>疲劳、咳嗽、咳痰和<span style="color: black;">呼气</span>困难，这些症状在活动后会加剧。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1BOZXCNgy3m4TIElBviaQxM13Diccfm3WLHIPc49aN1qhbjiaptdofxdv4Q/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">右心衰则是右心处理全身回流的静脉血液的能力减弱，<span style="color: black;">引起</span>全身静脉血液淤积，表现为食欲不振、腹泻、便秘、双下肢或上肢水肿，按压四肢时会<span style="color: black;">显现</span><span style="color: black;">显著</span>凹陷。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1BcuTbBCbakUaq1e7Licia6KGC4t8baVm5bZibB83sqm9LViafHP5fOmusmg/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">全心衰<span style="color: black;">指的是</span><span style="color: black;">上下</span>心功能都下降。</span><span style="color: black;">在这种<span style="color: black;">状况</span>下，肺部淤血的<span style="color: black;">状况</span>可能会有所改善，<span style="color: black;">由于</span>右心泵血的能力<span style="color: black;">亦</span>下降了，血液在肺部的淤积<span style="color: black;">状况</span>会有所减轻。</span><span style="color: black;">但患者会<span style="color: black;">同期</span><span style="color: black;">显现</span>胸闷气短、心慌的左心衰症状和下肢浮肿、腹水的右心衰症状。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1B4xVLu1zWCdU9TKRkmkgKjSKG4k9mAt7KqLEAkTDNKleyvtZjIDIibpQ/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在中医中，左心衰、右心衰和全心衰都属于“胸痹”。治疗时，<span style="color: black;">重点</span><span style="color: black;">按照</span>病因将其分为气虚血瘀证兼痰饮、气阴两虚血瘀证兼痰饮和阳气亏虚血瘀证兼痰饮三个证型。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、 气虚血瘀兼痰饮</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">治疗<span style="color: black;">办法</span>：</span><span style="color: black;">益气活血，兼以化痰利水。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">方剂：</span><span style="color: black;">保元汤合血府逐瘀汤加减。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">辨证加减：</span><span style="color: black;">气虚</span><span style="color: black;">严重者，<span style="color: black;">增多</span>黄芪用量或加入党参、白术等；</span><span style="color: black;">血瘀严重者加丹参、三<span style="color: black;">7、</span>地龙等；</span><span style="color: black;">兼有痰浊者，加入瓜蒌、薤白、半夏、陈皮、杏仁等；</span><span style="color: black;">兼有水饮者，加入葶苈子、茯苓皮、泽泻、车前子(草)、大腹皮、五加皮等。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1B9eqRPib9L4e2iaIylt0UruIl7R3ff4htgAmxmwTk64VXyW1VYlliaF8ibw/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、 气阴两虚兼痰饮</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">治疗<span style="color: black;">办法</span>：</span><span style="color: black;">益气养阴活血，或兼以化痰利水。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">方剂：</span><span style="color: black;">生脉散合血府逐瘀汤加减。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">辨证加减：</span><span style="color: black;">偏阴虚者，可将人参换用太子参、西洋参，或加玉竹、</span><span style="color: black;">黄精、山萸肉等。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1B1h3eOjyVC03nSESeoh09x4zt3j1XAk3R0phibEFPMlJpP6whpQHm8GA/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、 阳气亏虚兼痰饮</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">治疗<span style="color: black;">办法</span>：</span><span style="color: black;">益气温阳活血，或兼以化痰利水。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">方剂：</span><span style="color: black;">真武汤合血府逐瘀汤加减。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">辨证加减：</span><span style="color: black;">阳虚<span style="color: black;">显著</span>，可加桂枝、淫羊藿等；</span><span style="color: black;">其余加减用药同前。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/kDnJhTo4aanDWpCFBB23CTpvWgj2NL1BOW0o0rk8PToX7kkhtBnVYMwV4xyOwO9AGx16y4nwnBL4bAZD8jl2sw/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">中药是一人一方，<span style="color: black;">必须</span>辨证配伍。<span style="color: black;">每一个</span>人病因、病程不同，用方用量都不同。若有<span style="color: black;">必须</span>，可联系我帮您辨证<span style="color: black;">护理</span>。</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">‍‍‍‍‍</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/kDnJhTo4aakjh7uP9rDcWrOsnzoN70sicZFcaahAmhanyvX6nicSsiaiaSvsm2nbblO2ibQVeYcpO3ByxlnWfBCq20Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">‍</span>match</a><span style="color: black;">‍</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">大夫</span>简介</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">罗川晋</span></p><span style="color: black;">广州中医药大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院科副<span style="color: black;">专家</span>医师</span><span style="color: black;">教授 博士后/<span style="color: black;">科研</span>生导师/优秀教授/心血管科专家医师</span><span style="color: black;">广州市中医药学会优秀中医</span><span style="color: black;">广东省中西结合学会高血压专业委员会委员秘书</span><span style="color: black;">广东省中西医结合学会心力<span style="color: black;">衰尽</span>委员会常务委员</span><span style="color: black;">广东省中西医结合学会脑心同治委员会委员</span><span style="color: black;">中国中西医结合学会心血管专业委员会委员兼预防学组秘书</span><span style="color: black;">中华中医药学会心病专业委员会青年委员</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">善于</span>：</span></strong><span style="color: black;">心衰、冠心病、扩张型心肌病、瓣膜病、<span style="color: black;">心率</span>失常、心肌梗死，房颤等心血管病的<span style="color: black;">恢复</span>诊治及术后防复发<span style="color: black;">护理</span>。</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在心血管心脏病变方面已有20<span style="color: black;">数年</span>的临床经验，<span style="color: black;">帮忙</span>了<span style="color: black;">不可胜数</span>的<span style="color: black;">病人</span>改善了<span style="color: black;">疾患</span>，<span style="color: black;">乃至</span>实现了<span style="color: black;">很久</span>的<span style="color: black;">加强</span>生活质量。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">欢迎咨询&nbsp;心血管专家<a style="color: black;">罗川晋</a></strong></p>
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                        </div>
                  </div>
                </div>
            </div>
      </div>
      <div style="color: black; text-align: left; margin-bottom: 10px;">
            <div style="color: black; text-align: left; margin-bottom: 10px;"> <a style="color: black;"> 视频详情 </a> </div>
      </div>
    </span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">01</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">&nbsp;联系方式</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/kDnJhTo4aal4nGunpvTG1Vmc3xXCM7lXtUG5icegiccibrDZngkCpW3cnQZcYrF3vj34GO711Pvw48qz4llS7q38g/640?wx_fmt=png&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">02</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">扫一扫二维码添加<span style="color: black;">专家</span><span style="color: black;">微X</span>，随时可向<span style="color: black;">专家</span>咨询</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/kDnJhTo4aal4nGunpvTG1Vmc3xXCM7lXibg3q1MNwe8MH1aLlrzM3ibNmicz57sfw9YRbm6gv4gsywRZgxfibr7NEQ/640?wx_fmt=png&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>

after6266 发表于 2024-9-10 09:23:37

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qzmjef 发表于 2024-10-25 04:39:56

太棒了、厉害、为你打call、点赞、非常精彩等。

wrjc1hod 发表于 2024-11-10 22:49:36

顶楼主，说得太好了！

1fy07h 发表于 2024-11-12 13:46:55

楼主节操掉了，还不快捡起来！

查看完整版本: 左心衰、右心衰和全心衰各有什么症状表现，应该怎么治疗？