219mze 发表于 2024-6-7 23:52:42

医生讲解：什么是心力衰竭？怎么样区分左心衰和右心衰？


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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心力衰竭病症简<span style="color: black;">叫作</span>心衰，指的是人体心脏部位<span style="color: black;">由于</span>收缩功能与舒张功能<span style="color: black;">出现</span><span style="color: black;">阻碍</span>，<span style="color: black;">从而</span><span style="color: black;">引起</span><span style="color: black;">病人</span>静脉回心血量<span style="color: black;">不可</span>充分地排出心脏，一旦静脉系统<span style="color: black;">其中</span>的血液<span style="color: black;">持续</span>淤积，将会使得动脉系统中的血液灌注不足，<span style="color: black;">最后</span><span style="color: black;">诱发</span>心脏循环<span style="color: black;">阻碍</span>症候群。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/wWBUOUmwlamhVqxzQlnxqTM2m1zFA1u4IUa6HhTJehic88ConwDq7lJQncxI4y9AX7ScYH1N4Xhqx8uaYQ2uzjg/640?wx_fmt=png&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;">怎样</span>区分左心衰和右心衰？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>将心衰细分，又会分为左心衰和右心衰，两者所<span style="color: black;">显现</span>的<span style="color: black;">原由</span>以及症状表现都是不<span style="color: black;">同样</span>的。</p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/wWBUOUmwlamhVqxzQlnxqTM2m1zFA1u41Z0LHfq9JNa47YPBcbJTP7an0N9XWqRotCUVZxX5JXywia5NxdRm6RQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">左心衰</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">左心衰在临床上比较多见，常由高血压、动脉硬化、主动瓣<span style="color: black;">疾患</span>、中毒性心肌炎等<span style="color: black;">导致</span>。<span style="color: black;">因为</span>左心功能不全<span style="color: black;">因此呢</span>左心向全身搏血量减少，可有<span style="color: black;">重点</span>脏器供血不足的表现;<span style="color: black;">同期</span>左心室搏<span style="color: black;">流血</span>少<span style="color: black;">导致</span>肺淤血，又有肺淤血的<span style="color: black;">各样</span>症状。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">左心衰的<span style="color: black;">病人</span><span style="color: black;">重点</span>的临床表现是心慌气短、咳嗽、咳痰、咯血、端坐<span style="color: black;">呼气</span>,<span style="color: black;">头昏</span>,全身<span style="color: black;">没</span>力。肺部听诊可闻广泛散在水泡音。</p>
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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">右心衰</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右心衰竭为右侧心肌受到损害或右心负荷过度<span style="color: black;">导致</span>，<span style="color: black;">包含</span>右心室衰竭和右心房衰竭，前者远较后者多见，在血流动力学上都<span style="color: black;">引起</span>大循环静脉淤血和右心排血量降低，临床表现<span style="color: black;">亦</span><span style="color: black;">类似</span>。右心衰竭可单独<span style="color: black;">显现</span>，但更常继发于左心衰竭，为全心衰竭的一部分。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右心衰<span style="color: black;">病人</span>的<span style="color: black;">重点</span>临床表现是水肿和内脏瘀血，症状有腹胀、恶心、呕吐、食欲不振，并可见颈静脉怒张、紫绀及身体低垂部位的对<span style="color: black;">叫作</span>性可压陷性水肿。<span style="color: black;">平常</span>病因有肺心病、肺动脉高压、某些先天性心脏病和左心衰竭<span style="color: black;">导致</span>的肺慢性充血。</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>提示：</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">还有一种心力衰竭是全心衰，它<span style="color: black;">能够</span>兼有左心衰的<span style="color: black;">呼气</span>困难症状、右心衰的体循环淤血症状，<span style="color: black;">通常</span>继发于左心衰的右心衰即全心衰。全心衰是心力衰竭的末期<span style="color: black;">周期</span>，<span style="color: black;">更加是</span>心脏内科最为凶险的<span style="color: black;">疾患</span>之一，致死率非常高。</p><img src="https://mmbiz.qpic.cn/mmbiz_svg/9UjCmequjUibyO5B14pqRVjaeyBkDMzXEl9XaDOOmtb8BtHRIJy8C2fVGCo45AyEK3Kphn8BRD9YutnqrOm3DZQ7Wc0HOqLiaR/640?wx_fmt=svg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">绍</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/wWBUOUmwlamhVqxzQlnxqTM2m1zFA1u47wmd9Dicb8CWdQNibxicqialfCF0PTgstnzzzWzDpaoehF87V9HK5TnVfw/640?wx_fmt=jpeg&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;">心脑血管科是北京德胜门中医院重点科室，该科室历经数十年的建设，几代人的<span style="color: black;">奋斗</span>，<span style="color: black;">持有</span>多名名老中医坐诊，<span style="color: black;">数年</span>来<span style="color: black;">始终</span>致力于冠心病、心绞痛、心肌炎、心肌梗死、动脉硬化、中风、脑供血不足、脑梗、脑血栓、脑出血等心脑血管<span style="color: black;">疾患</span>的防治<span style="color: black;">科研</span>。自科室成立<span style="color: black;">败兴</span>，<span style="color: black;">保持</span>以中医诊疗，发挥中医药独特<span style="color: black;">优良</span>，注重运用我国传统医学理论<span style="color: black;">指点</span>，将治病和保健融为一体，为众多心脑血管病<span style="color: black;">病人</span>解除了疾患，深受<span style="color: black;">病人</span>一致认可和赞誉。</p><img src="https://mmbiz.qpic.cn/mmbiz_svg/9UjCmequjUibyO5B14pqRVjaeyBkDMzXElTuJmzeOH1rNVlKDdjwKUkFxJjhvCfDBgibN7rCrjmCZJsG7UGR5zRiasSkJhLXC3p/640?wx_fmt=svg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
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情迷布拉格 发表于 2024-8-31 07:10:33

你的见解真是独到，让我受益良多。

nykek5i 发表于 2024-10-19 10:01:23

你的见解独到，让我受益匪浅，期待更多交流。
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