论坛 › 天涯情感 › 警觉！显现这些症状可能是得了心力衰竭，怎么样治疗看这儿～

tw4ld6 发表于 2024-5-31 16:24:27

警觉！显现这些症状可能是得了心力衰尽，怎么样治疗看这儿～

<img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L1ZIL9wxxx36vrBZBIt2ZAXia2qXbiak0KH8RMv8dhGWOt6pFQpjJIwtlg/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;">点击上方<span style="color: black;">“公众号”</span> <span style="color: black;">能够</span>订阅哦！<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">您<span style="color: black;">可否</span>有爬楼眩晕、胸闷、气短，喘不上气，体力<span style="color: black;">显著</span>不如平时，食欲变差，消化不良，双侧小腿水肿......，<span style="color: black;">倘若</span>是，那您可能是<span style="color: black;">显现</span>心力<span style="color: black;">衰尽</span>了！</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L12bwIIqkoscibsibqqbiabhG5icuQh1TrH2qiaI4VZtEWIh9TCzk74yPV8JQ/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 style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、</span>什么是心力<span style="color: black;">衰尽</span>呢？</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;">咱们</span>的心脏每时每刻都在<span style="color: black;">一直</span>地跳动，维持机体组织代谢。但心力<span style="color: black;">衰尽</span>的病人心脏结构或心脏功能<span style="color: black;">显现</span>问题，<span style="color: black;">都数</span><span style="color: black;">状况</span>是心肌收缩力不足，<span style="color: black;">少许</span><span style="color: black;">状况</span>是心室舒张功能受损，<span style="color: black;">导致</span>在适量静脉回流<span style="color: black;">状况</span>下就会<span style="color: black;">显现</span><span style="color: black;">反常</span>水、钠潴留和<span style="color: black;">周边</span>灌注不足的临床表现。因心脏排血量<span style="color: black;">不可</span>满足机体组织代谢<span style="color: black;">必须</span>，继而<span style="color: black;">显现</span>的以肺循环和（或）体循环淤血，器官、组织血液灌注不足为临床表现的一组<span style="color: black;">综合症</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、</span>什么样的人会<span style="color: black;">显现</span>心力<span style="color: black;">衰尽</span>呢？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心力<span style="color: black;">衰尽</span><span style="color: black;">一般</span>出<span style="color: black;">此刻</span><span style="color: black;">本来</span>就有心血管疾病的人群中，如冠心病、肺源性心脏病、高血压性心脏病、心肌炎、遗传性心肌病等；但有时严重贫血、甲亢、结缔组织<span style="color: black;">疾患</span>的人群<span style="color: black;">亦</span>会<span style="color: black;">显现</span>心力<span style="color: black;">衰尽</span>。心衰的<span style="color: black;">出现</span>常常<span style="color: black;">由于</span>感染、<span style="color: black;">心率</span>失常、血容量<span style="color: black;">增多</span>、过度<span style="color: black;">疲劳</span>或<span style="color: black;">心情</span>激动、环境气候急剧变化及治疗<span style="color: black;">欠妥</span>等诱发。心衰就如同一架马车，简单<span style="color: black;">来讲</span><span style="color: black;">便是</span>车载过重，马拉着费劲了。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L1626bqaE5coOZceribdpzzib6QqWnr5Tdy1YQ0T2ndicCLjcVSoQdbkF3A/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 style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、</span>怎么判断自己<span style="color: black;">显现</span>了心力<span style="color: black;">衰尽</span>呢？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span><span style="color: black;">一般</span><span style="color: black;">按照</span><span style="color: black;">病人</span>的临床症状将心力<span style="color: black;">衰尽</span>分为左心<span style="color: black;">衰尽</span>、右心<span style="color: black;">衰尽</span>及全心<span style="color: black;">衰尽</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">左心<span style="color: black;">衰尽</span>最<span style="color: black;">重点</span>的表现<span style="color: black;">便是</span><span style="color: black;">呼气</span>困难，尤其在活动后加重，严重时夜间<span style="color: black;">没</span>法平躺睡觉，<span style="color: black;">必须</span>坐起来方可缓解<span style="color: black;">呼气</span>困难的症状，病情<span style="color: black;">发展</span>到肺水肿<span style="color: black;">周期</span>时，会<span style="color: black;">显现</span>咳嗽，咳粉红色的<span style="color: black;">泡泡</span>痰<span style="color: black;">状况</span>，<span style="color: black;">同期</span>伴有<span style="color: black;">显著</span>的乏力、疲劳、少尿等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右心<span style="color: black;">衰尽</span>最<span style="color: black;">重点</span>的表现是水肿，能够行走的人水肿多<span style="color: black;">初期</span><span style="color: black;">显现</span>于足踝部、胫骨前，双下肢水肿为主，行走活动后<span style="color: black;">显著</span>加重，<span style="color: black;">休憩</span>后<span style="color: black;">能够</span>减轻<span style="color: black;">或</span>消失；经常卧床的人骶尾部水肿最<span style="color: black;">显著</span>，<span style="color: black;">通常</span>颜面部不肿。病人常常<span style="color: black;">显现</span>食欲<span style="color: black;">衰退</span>，消化不良等消化道症状，肝区可因淤血肿胀等而<span style="color: black;">显现</span><span style="color: black;">病痛</span>感。<span style="color: black;">同期</span><span style="color: black;">病人</span><span style="color: black;">亦</span>常表现为<span style="color: black;">呼气</span>困难，尤其在活动后<span style="color: black;">也</span>会加重。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">全心<span style="color: black;">衰尽</span>者<span style="color: black;">以上</span>心衰的症状<span style="color: black;">能够</span>兼见。<span style="color: black;">倘若</span>在<span style="color: black;">以上</span>表现的<span style="color: black;">基本</span>上<span style="color: black;">显现</span>了四肢发冷发紫，<span style="color: black;">认识</span><span style="color: black;">阻碍</span>，血压降低（<span style="color: black;">小于</span>90/60mmHg），小便量<span style="color: black;">显著</span>减少，您可能是<span style="color: black;">显现</span>了心源性休克，<span style="color: black;">那样</span>请尽快<span style="color: black;">看病</span>！</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L1U8d9wfYR3bqnOTL3iaNiaOXUibp6xbAX4rqqyQFJVZnzf1kndB8Dhyb9Q/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 style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4、</span>得了心力<span style="color: black;">衰尽</span>我该怎么办？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span><span style="color: black;">咱们</span><span style="color: black;">针对</span>心力<span style="color: black;">衰尽</span>的治疗<span style="color: black;">目的</span><span style="color: black;">重点</span>是防止和延缓心力<span style="color: black;">衰尽</span>的<span style="color: black;">出现</span>发展；缓解临床症状，<span style="color: black;">加强</span>生活质量；改善<span style="color: black;">长时间</span>预后，降低病死率和住院率。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">慢性心力<span style="color: black;">衰尽</span>的治疗</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（一）<span style="color: black;">通常</span>治疗</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.健康生活，避免<span style="color: black;">心情</span>激动，<span style="color: black;">长时间</span>规律用药，<span style="color: black;">定时</span>心血管内科门诊就诊。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.<span style="color: black;">掌控</span>盐的摄入，<span style="color: black;">掌控</span>液体摄入。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L1Riav3DHbicXq6FicKE7v6sK37P6bF8KXwQXQT1RcOGhV2teJnFxYn4yQg/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 style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（二）<span style="color: black;">药品</span>治疗</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1.利尿药</strong>：<span style="color: black;">一般</span>用于急性心力<span style="color: black;">衰尽</span>伴肺循环和（或）体循环<span style="color: black;">显著</span>淤血以及容量负荷过重的<span style="color: black;">病人</span>。<span style="color: black;">必须</span><span style="color: black;">长时间</span><span style="color: black;">运用</span>，小剂量维持，应用过程中要<span style="color: black;">重视</span>电解质<span style="color: black;">错乱</span>、低血压及肌酐水平<span style="color: black;">增多</span>等，常用的口服<span style="color: black;">药品</span>有呋塞米、螺内酯等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2.肾素-血管紧张素-醛固酮系统（RAAS）<span style="color: black;">控制</span>剂</strong>：为治疗心衰的基石，<span style="color: black;">通常</span><span style="color: black;">包含</span>血管紧张素转换酶抵制剂（ACEI）及血管紧张素受体拮抗剂（ARB），可缓解心衰症状，降低心力<span style="color: black;">衰尽</span>病人的死亡率，改善预后，常用<span style="color: black;">药品</span>有依那普利、贝那普利、缬沙坦、伊贝沙坦等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3.β受体阻滞剂</strong>：小剂量<span style="color: black;">起始</span>，<span style="color: black;">逐步</span>加量，保持清晨静息心率达55－60次/分最佳，可缓解心衰症状，降低心力<span style="color: black;">衰尽</span>病人的死亡率，改善预后，常用<span style="color: black;">药品</span><span style="color: black;">包含</span>酒石酸美托洛尔，琥珀酸美托洛尔，比索洛尔等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4.正性肌力<span style="color: black;">药品</span></strong>：洋地黄类<span style="color: black;">药品</span>能轻度<span style="color: black;">增多</span>心输出量，降低左心室充盈压，是改善急性左心衰最有效的<span style="color: black;">药品</span>，常用<span style="color: black;">药品</span>如地高辛等，<span style="color: black;">倘若</span><span style="color: black;">运用</span>过程中<span style="color: black;">显现</span>纳差、恶心、呕吐，新<span style="color: black;">显现</span><span style="color: black;">心率</span>失常及黄视、绿视等，那<span style="color: black;">特别有</span>可能是地高辛中毒了，要<span style="color: black;">即时</span><span style="color: black;">看病</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">5.&nbsp;钠-葡萄糖协同转运蛋白-2（SGLT2）<span style="color: black;">控制</span>剂</strong>：SGLT2<span style="color: black;">控制</span>剂<span style="color: black;">一般</span>安全性和耐受性良好，且<span style="color: black;">拥有</span>肾脏<span style="color: black;">守护</span>、利尿的<span style="color: black;">功效</span>，能够<span style="color: black;">快速</span>改善心衰<span style="color: black;">病人</span>的临床<span style="color: black;">结果</span>和生活质量。为治疗心力<span style="color: black;">衰尽</span>的新四联<span style="color: black;">药品</span>之一。螺内酯+RAAS<span style="color: black;">控制</span>剂+β受体阻滞剂+SGLT2是<span style="color: black;">日前</span>慢性心衰治疗中的“四驾马车”。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/TywVTKnV2ibAGSQsDFR0icxxcYshT6r2L1Fb6Oiaictich7E2DbxUibicSI7dUZeI7Z4MBP1IQgia1xVYWStTWW3iajedVw/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 style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">急性心力<span style="color: black;">衰尽</span>的治疗</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（一）<span style="color: black;">通常</span>治疗</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.半坐位，双腿下垂，减少静脉回流。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.吸氧。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（二）<span style="color: black;">药品</span>治疗</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.镇静：减少躁动带来的额外的心脏<span style="color: black;">包袱</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.利尿：呋塞米静脉注射减轻液体负荷。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.洋地黄类<span style="color: black;">药品</span>：轻度<span style="color: black;">增多</span>心输出量，降低左心室充盈压。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4.血管活性<span style="color: black;">药品</span>：减少心脏负荷。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5.中医治疗：益气复脉注射液，其<span style="color: black;">源自</span>于古方生脉散，由红参、麦冬和（或）五味子<span style="color: black;">构成</span>，临床上<span style="color: black;">重点</span>用于冠心病<span style="color: black;">疲劳</span>性心绞痛、冠心病<span style="color: black;">导致</span>慢性左心功能不全等气阴两虚证，<span style="color: black;">亦</span>可用于慢性心衰急性加重及心源性休克<span style="color: black;">病人</span>的急救治疗，<span style="color: black;">拥有</span>益气复脉、养阴生津功效。</p><span style="color: black;">文｜广东省中医院 陈立</span><span style="color: black;">编辑｜王青云</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">审核｜<span style="color: black;">朱蕗鋆</span>&nbsp;徐婧</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_png/TywVTKnV2ibArOjbVfMmNGvUeC3AHB6fHtpxaL0aLQnzlUxuHMyKUjem89QFX6XxJgWRjD00yuLibAoJibrS6vlibA/640?wx_fmt=jpeg&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></p>

啊呀呀 发表于 2024-9-2 22:25:55

期待更新、坐等、迫不及待等。

4zhvml8 发表于 2024-10-12 01:09:49

我深受你的启发，你的话语是我前进的动力。

m5k1umn 发表于 2024-11-12 11:57:10

哈哈、笑死我了、太搞笑了吧等。

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