【心衰中心】心力衰竭有哪些典型症状?
<img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1VhdHzevfquhbebSraSKWOM1N1FzPiaV1F05X92wRKwKKTbeg1yEYbY8og/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;">心衰中心</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心力衰竭的<span style="color: black;">初期</span>表现<span style="color: black;">通常</span>不<span style="color: black;">显著</span>,<span style="color: black;">由于</span>在心功能受损的初期,心脏的<span style="color: black;">贮存</span>能力会<span style="color: black;">帮忙</span>弥补<span style="color: black;">损害</span>。有的<span style="color: black;">病人</span>会在活动时<span style="color: black;">显现</span>气促、胸闷,有的入睡后憋气、胸闷,<span style="color: black;">必须</span>垫高上半身睡觉。还有双下肢水肿、乏力、<span style="color: black;">头昏</span>等。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1VhjL9xliblu1KuponZwOHice0QUY3jrXDMOgsGZZbAibiaiaiaib2NGBXPQic1ww/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;">心力衰竭的症状会随着病情加重而变化</p><img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1VhY7cyYIkunDo8UCmw3blD356JZpeeo6MIIIvU1EQW5hyxgVNaJ6MbibQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1Vhj2bKYXP1Mkc2odC25l5eLzriax5jys2L1gfpj9AibRQedgskjMPMvUJg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;">心力衰竭有<span style="color: black;">那些</span>典型症状?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">慢性心力衰竭、左心衰竭<span style="color: black;">平常</span>,且常可继发右心衰竭,即发展为全心衰竭。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/QhsTPSWnvMH6VNVZS891PmpUQJriay1VhQdqwUiarTpOTJywg4S0XJhrFaas7LaXsF6qfIfic4ic9BUa5NhVlicoAYw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;">左心衰竭</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;">呼气</span>困难症状由轻到重分别表现为:劳力性<span style="color: black;">呼气</span>困难,即重体力劳动时有<span style="color: black;">呼气</span>困难,<span style="color: black;">休憩</span>后<span style="color: black;">能够</span>缓解;夜间阵发性<span style="color: black;">呼气</span>困难,即<span style="color: black;">夜晚</span><span style="color: black;">忽然</span>憋醒并<span style="color: black;">快速</span>坐起,<span style="color: black;">必须</span>30分钟或更<span style="color: black;">长期</span>方能缓解;端坐<span style="color: black;">呼气</span>,即<span style="color: black;">病人</span>平卧几分钟就会感到<span style="color: black;">呼气</span>困难,只能坐起来<span style="color: black;">呼气</span>;严重时可<span style="color: black;">显现</span>急性肺水肿,<span style="color: black;">详细</span>可表现为突发严重<span style="color: black;">呼气</span>困难、端坐<span style="color: black;">呼气</span>,伴咳嗽,常咳出粉红色<span style="color: black;">泡泡</span>状痰,<span style="color: black;">病人</span>还会<span style="color: black;">显现</span>大汗淋漓、烦躁、口唇发绀等。咳嗽、咳痰、咯血肺淤血时肺泡、支气管黏膜受刺激,<span style="color: black;">病人</span>可有咳嗽,<span style="color: black;">通常</span>咳白色<span style="color: black;">泡泡</span>状痰,偶有血丝。乏力、<span style="color: black;">头昏</span>、心慌、运动量减低、组织血供不足,心率加快<span style="color: black;">导致</span>。少尿及肾损害症状因肾血流量减少而<span style="color: black;">显现</span>少尿,<span style="color: black;">长时间</span>可<span style="color: black;">显现</span>肾功能损害。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/QhsTPSWnvMH6VNVZS891PmpUQJriay1Vhc1bcJVnn0956oLqGmaQSdO0ee0YhJrfjBSgugkf9ATbER8MRLMA5Nw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;">右心衰竭</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">颈部静脉血管充盈、怒张:右心衰最早的征象。消化道症状:胃肠道淤血<span style="color: black;">引起</span>腹胀、厌食、呕吐等。<span style="color: black;">呼气</span>困难:右心室扩大影响左心室舒张,肺淤血<span style="color: black;">导致</span>。水肿:<span style="color: black;">首要</span><span style="color: black;">显现</span>双足、双腿水肿,向上<span style="color: black;">逐步</span>蔓延至全身。胸水和腹水:体循环淤血<span style="color: black;">引起</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">全心衰竭</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">全心衰竭见于心脏病晚期,病情<span style="color: black;">严重</span>,可<span style="color: black;">同期</span><span style="color: black;">拥有</span>左、右心衰的临床表现,<span style="color: black;">重点</span>表现为各个组织器官血液灌注不足的<span style="color: black;">关联</span>症状,如四肢发冷、<span style="color: black;">头昏</span>、少尿等。</span><span style="color: black;">因左心衰竭发展<span style="color: black;">作为</span>全心衰竭的<span style="color: black;">病人</span>,<span style="color: black;">呼气</span>困难等可能反而有所减轻,但这并不<span style="color: black;">寓意</span>着病情好转,而是加重的表现,<span style="color: black;">病人</span>及家属应高度<span style="color: black;">注意</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">急性心力衰竭</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">突发严重的<span style="color: black;">呼气</span>困难、强迫坐位、大汗、面色灰白、口唇发绀、烦躁,<span style="color: black;">同期</span><span style="color: black;">持续</span>咳嗽,咳粉红色<span style="color: black;">泡泡</span>痰。极重者可有神志模糊。发病时还可有血压一过性<span style="color: black;">上升</span>,若未缓解可<span style="color: black;">出现</span>休克。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1Vhj2bKYXP1Mkc2odC25l5eLzriax5jys2L1gfpj9AibRQedgskjMPMvUJg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;">六分钟步行<span style="color: black;">实验</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/QhsTPSWnvMH6VNVZS891PmpUQJriay1VhiahZia6iaxaNczfDClgVZNyWUeVfGlkKnE6K9aeHv5WZQzEFfsoDNbEAw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;">6分钟步行<span style="color: black;">实验</span>是一种<span style="color: black;">评定</span>心力衰竭<span style="color: black;">病人</span>心脏功能的一种办法,前提<span style="color: black;">需求</span><span style="color: black;">病人</span>的病情相对稳定,<span style="color: black;">倘若</span><span style="color: black;">病人</span>在心力衰竭急性期不就<span style="color: black;">意见</span>做此<span style="color: black;">检测</span>。<span style="color: black;">需求</span><span style="color: black;">病人</span>在一个平直的走廊里<span style="color: black;">尽可能</span><span style="color: black;">慢跑</span>,<span style="color: black;">病人</span>在行走过程<span style="color: black;">其中</span>一旦<span style="color: black;">显现</span>胸痛、胸闷、大汗、面色苍白等症状要停止进行,<span style="color: black;">按照</span>6分钟<span style="color: black;">病人</span>的步行距离来<span style="color: black;">评定</span>心脏的功能。6分钟步行距离<span style="color: black;">倘若</span><span style="color: black;">少于</span>150米<span style="color: black;">显示</span><span style="color: black;">病人</span>是重度的心力衰竭,6分钟的步行距离<span style="color: black;">倘若</span>在150-425米之间<span style="color: black;">显示</span><span style="color: black;">病人</span>是中度心力衰竭,<span style="color: black;">倘若</span>6分钟的步行距离<span style="color: black;"><span style="color: black;">倘若</span></span><span style="color: black;">在426-550</span><span style="color: black;">米之间</span><span style="color: black;">显示</span><span style="color: black;">病人</span>的心力衰竭是轻度的,<span style="color: black;">表率</span><span style="color: black;">病人</span>的心脏功能尚可<span style="color: black;">或</span><span style="color: black;">药品</span>治疗效果较好。</span></p>
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