心衰有哪些不典型症状？
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/bqqLfibkeIfTCl5dyt48ibuar5GGZASvkrWfV6fbaQQ1NHcOVaSibc5sGwEibnF882kTUicb5Jk0Te74AOq77zK1QgQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心脏就像一个“水泵”，<span style="color: black;">一直</span>地以5-6升/分的速度把血液<span style="color: black;">传送</span>到全身，为全身各器官<span style="color: black;">传送</span>营养和氧气，<span style="color: black;">同期</span>代谢废物。当<span style="color: black;">咱们</span>的心脏的任何结构<span style="color: black;">或</span>功能<span style="color: black;">显现</span><span style="color: black;">反常</span>时，会<span style="color: black;">引起</span>心脏“回血”或向全身“泵血”的能力受损，使心脏<span style="color: black;">不可</span><span style="color: black;">供给</span>人体正常生命活动<span style="color: black;">必须</span>的能量和动力，<span style="color: black;">此时</span>候就会<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难、疲乏<span style="color: black;">没</span>力和水肿等症状，这<span style="color: black;">便是</span><span style="color: black;">咱们</span>常说的“心力衰竭”，简<span style="color: black;">叫作</span>“心衰”。</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_jpg/bqqLfibkeIfSeqIFqXia27w58myicHshzfDluuyCAw8WX7sB1aqpsOr42oicibXOiajr2ibCjNgCH4rmM2gwdONRlibwhw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><span style="color: black;">心衰的症状<span style="color: black;">重点</span>表现为“</span><strong style="color: blue;"><span style="color: black;">喘</span></strong><span style="color: black;">”、“</span><strong style="color: blue;"><span style="color: black;">累</span></strong><span style="color: black;">”和“</span><strong style="color: blue;"><span style="color: black;">肿</span></strong><span style="color: black;">”，<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">呼气</span>困难、疲劳乏力和水肿，但<span style="color: black;">亦</span>有<span style="color: black;">非常多</span>心衰<span style="color: black;">病人</span><span style="color: black;">呼气</span>困难和水肿表现不甚<span style="color: black;">显著</span>，尤其是<span style="color: black;">有些</span>虚弱的老年人，<span style="color: black;">她们</span>会表现出<span style="color: black;">有些</span>奇怪的症状，<span style="color: black;">重点</span>有以下几种<span style="color: black;">状况</span>：</span></p>
<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;">1、反复<span style="color: black;">爆发</span>夜间干咳</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咳嗽常<span style="color: black;">出现</span>在夜间</span><span style="color: black;">平卧时</span><span style="color: black;">，</span><span style="color: black;">多为阵发性呛咳，以干咳为主，很少有痰，伴有胸闷、气憋，</span><span style="color: black;">坐位或立位时咳嗽可减轻或停止</span><span style="color: black;">，</span><span style="color: black;">有部分<span style="color: black;">病人</span>会<span style="color: black;">忽然</span>呛咳被憋醒</span><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;"><strong style="color: blue;"><span style="color: black;">2、经常<span style="color: black;">显现</span>食欲不振</span></strong></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;">无</span>征兆的<span style="color: black;">显现</span>消化不良、腹胀、恶心、呕吐等症状，如<span style="color: black;">无</span>证据<span style="color: black;">暗示</span>是<span style="color: black;">食品</span>中毒，应当<span style="color: black;">可疑</span>可能是心衰表现，<span style="color: black;">由于</span>心衰<span style="color: black;">病人</span><span style="color: black;">长时间</span>胃肠道瘀血，可<span style="color: black;">导致</span>食欲不振和消化不良，表现为不思<span style="color: black;">膳食</span>、腹胀、恶心、呕吐等症状。</span></p>
<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;">3、莫名其妙烦躁不安</span></strong></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;">心衰因有<span style="color: black;">显著</span>的低氧血症，使脑组织供血和供氧减少，会<span style="color: black;">引起</span><span style="color: black;">病人</span><span style="color: black;">显现</span><span style="color: black;">心情</span>波动，从而<span style="color: black;">引起</span><span style="color: black;">重视</span>力<span style="color: black;">衰退</span>、淡漠、焦虑、抑郁、失眠、昏睡、精神错乱等表现。</span><span style="color: black;">尤其是<span style="color: black;">非常多</span>女性<span style="color: black;">病人</span>在心衰<span style="color: black;">爆发</span>前会感到<span style="color: black;">反常</span>疲劳乏力，还有<span style="color: black;">有些</span>人<span style="color: black;">显现</span>“<span style="color: black;">睡觉</span><span style="color: black;">错乱</span>”。</span><span style="color: black;"><span style="color: black;">因此呢</span>，<span style="color: black;">倘若</span><span style="color: black;">忽然</span>格外疲劳或<span style="color: black;">显现</span>失眠，应<span style="color: black;">警觉</span>心衰的可能。</span></span></p>
<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;">4、<span style="color: black;">没</span>缘<span style="color: black;">没</span>故夜尿<span style="color: black;">增加</span></span></strong></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;"><span style="color: black;">病人</span><span style="color: black;">无</span>肾功能不全的病史，<span style="color: black;">亦</span><span style="color: black;">无</span>泌尿系统感染的症状，但<span style="color: black;">显现</span>了夜间排尿次数和尿量较平时<span style="color: black;">增加</span>的现象，<span style="color: black;">白日</span>尿量<span style="color: black;">无</span><span style="color: black;">显现</span><span style="color: black;">反常</span>，这是<span style="color: black;">由于</span>心衰<span style="color: black;">病人</span>夜间平卧后回心血量相对<span style="color: black;">增多</span>，心输出量<span style="color: black;">增加</span>，从</span><span style="color: black;">而<span style="color: black;">导致</span>夜尿<span style="color: black;">增加</span>。</span></span></p>
<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;">5、不明<span style="color: black;">原由</span><span style="color: black;">海量</span>出汗</span></strong></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;">当你<span style="color: black;">忽然</span>间大汗淋漓而<span style="color: black;">无</span><span style="color: black;">知道</span><span style="color: black;">原由</span>时，要高度<span style="color: black;">可疑</span>是心脏出问题了。</span><span style="color: black;">心衰<span style="color: black;">病人</span>心输出量的大量减少和交感神经的过度活跃，会<span style="color: black;">导致</span>出汗症状。</span></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;">每一个</span>心衰<span style="color: black;">病人</span>的症状表现都各不相同，<span style="color: black;">倘若</span>您是高血压、冠心病等心血管病<span style="color: black;">病人</span>，莫名其妙<span style="color: black;">显现</span><span style="color: black;">以上</span>症状，<span style="color: black;">必定</span>要<span style="color: black;">警觉</span>心衰的可能，应<span style="color: black;">即时</span>到医院心衰专科就诊。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">本文作者介绍</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">任承潜</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/bqqLfibkeIfTMibtTgCpXa1GSHxRkA0pxpmx7hvqCqJvqCO2pEBWvV7w43wk2oVcVtC4KdicTDj7ezEXvdicGLvemw/640?wx_fmt=other&from=appmsg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" 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;">心衰中心认证专家，胸痛中心认证专家，湖南心衰中心联盟常务委员，株洲市胸痛联盟培训<span style="color: black;">指点</span>组副组长，株洲市医学会心血管分会委员，株洲市医学会医学鉴定专家，湖南省疑难心电图及<span style="color: black;">心率</span>失常诊断联盟委员，中国心脏联盟心血管<span style="color: black;">疾患</span>预防与<span style="color: black;">恢复</span>专业委员会湖南联盟委员，国际血管联盟中国分部心血管分会委员，湖南省健康服务业协会<span style="color: black;">第1</span>届心血管健康分会理事，湖南科普作家协会会员。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">毕业于中南大学湘雅医学院，<span style="color: black;">善于</span>心血管<span style="color: black;">疾患</span>的诊治及心电图诊断，尤其对顽固性心衰、严重<span style="color: black;">心率</span>失常的诊疗及心血管病的防治<span style="color: black;">拥有</span>丰富的临床经验，<span style="color: black;">熟悉</span><span style="color: black;">把握</span>心内科疑难急<span style="color: black;">严重</span>病症的诊断与<span style="color: black;">救治</span>，在国家核心期刊上<span style="color: black;">发布</span>医学论文多篇。</span></p>
<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;">关联</span>专家介绍</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">刘 宇</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/bqqLfibkeIfQic8VQJrIqzckx4yV0XwhOfI5ycicW4DuP6368MS9yKT8WSBEia1icZgTGE7fUuQh6cIShrPXxaMhbtg/640?wx_fmt=png&from=appmsg&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;"><span style="color: black;">医学硕士、株洲市<span style="color: black;">第1</span>批高层次人才，农工党株洲市委会副主委、株洲市政协委员、中国心脏联盟心血管<span style="color: black;">疾患</span>预防与<span style="color: black;">恢复</span>专业委员会湖南省联盟常委委员、湖南省<span style="color: black;">恢复</span>医学会心血管专业委员会委员、湖南省房颤中心联盟委员、湖南省心衰中心联盟委员、株洲市医学会心血管专业委员会副<span style="color: black;">专家</span>委员、高血压学组副组长、株洲市胸痛中心联盟质量<span style="color: black;">掌控</span>组副组长、株洲市医学会重症医学专业委员会委员、株洲市中医药和中西医结合学会脑心同治专业委员会常务委员。</span></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;"><span style="color: black;">中南大学湘雅医院内科硕士毕业。</span><span style="color: black;"><span style="color: black;">善于</span>冠心病介入诊疗、先心病介入封堵、<span style="color: black;">心率</span>失常射频消融及起搏器<span style="color: black;">移植</span>等介入诊疗，<span style="color: black;">针对</span><span style="color: black;">平常</span>心血管急症如急性心梗、心衰及恶性高血压及恶性<span style="color: black;">心率</span>失常等<span style="color: black;">救治</span>有丰富临床经验，并创建标准版胸痛中心和标准版心衰中心。先后<span style="color: black;">发布</span>学术论文10余篇，主持或参研省市级课题7例，三次获株洲市科技进步奖。</span></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">陈曼君</strong></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/bqqLfibkeIfSDj4QYtWKt9goFnyEicuwXlvyFicz5rLIBVCm13le6L3kv0oLIHLJkj82v0HnR8hMnjZxV73ZcjslA/640?wx_fmt=other&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></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;">株洲市医学会心血管内科专业委员会委员。</span></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;"><span style="color: black;">硕士<span style="color: black;">科研</span>生，毕业于南华大学（原衡阳医学院）临床医疗系，曾于2009年在中南大学湘雅医院进修心内科，<span style="color: black;">重点</span>从事心内科临床医疗一线工作，能胜任内科<span style="color: black;">平常</span><span style="color: black;">疾患</span>、多发<span style="color: black;">疾患</span>的诊疗；<span style="color: black;">善于</span>心内科<span style="color: black;">疾患</span>的诊疗及心脏<span style="color: black;">没</span>创<span style="color: black;">评定</span>，对顽固性心衰、<span style="color: black;">繁杂</span><span style="color: black;">心率</span>失常、风心病、心肌病、冠心病、高血压等疾病的诊疗有丰富的临床经验。在医学核心期刊上<span style="color: black;">发布</span>了多篇论文。</span></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">刘平平</strong></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/bqqLfibkeIfSZqnSy2sFicuBaUImdXpq0fGSm1jKAlnsoUiar059xQ7Klpr1p7aibyGia2fU6W6p7JwQWZDwJ69G3mQ/640?wx_fmt=other&from=appmsg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></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;">湖南省中医药和中西医结合学会委员，株洲市内分泌协会青年委员，“科普开讲了”讲者，心血管健康联盟科普达人，健康心血管特邀科普作者。株洲恺德心血管病医院高血压达标中心负责人。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">毕业于湖南师范大学医学院，曾到湘雅二医院代谢内分泌科及北京阜外医院高血压科进修、学习；对糖尿病、高血压尤其是继发性高血压诊治、高脂血症、痛风、骨质疏松、甲状腺<span style="color: black;">疾患</span>等代谢内分泌<span style="color: black;">疾患</span><span style="color: black;">拥有</span>很强的临床诊疗经验。在健康心血管、高血压达标中心、心血管健康联盟等多家公众号<span style="color: black;">发布</span>科普<span style="color: black;">文案</span>数十篇，在抖音、快手号、视频号等平台<span style="color: black;">发布</span>科普视频近百条，在国家核心期刊上<span style="color: black;">发布</span>专业论文数篇。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">杨 凯</strong></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/bqqLfibkeIfSDj4QYtWKt9goFnyEicuwXlp1gAMzSxH2ruWNkVxB1re9GREuvzCVWRNziaNaiayu2guicrSwPt8Zgbg/640?wx_fmt=other&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></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;">毕业于南华大学临床医学专业，曾于北京大学三医院进修。<span style="color: black;">善于</span>冠心病、高血压、心力衰竭及心内科<span style="color: black;">平常</span>病，<span style="color: black;">严重</span>症诊治。参与并熟悉心脏介入诊治，对外周血管诊治，结构性心脏病<span style="color: black;">亦</span>有<span style="color: black;">必定</span>经验。曾<span style="color: black;">发布</span>心脏<span style="color: black;">关联</span>论文数篇。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">秦 宏</strong></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/bqqLfibkeIfSI8uBntLdicsblSr3vFho3vcX3oJRGextKVEetq9XJXPgwZ6XTWvvzwCndnEbttIXKap3XWicIfqug/640?wx_fmt=other&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></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;">湖南省老年医学学会临床<span style="color: black;">精细</span>医疗分会委员。</span></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;">中共党员，毕业于长沙医学院，曾两次进修于中南大学湘雅医院心血管内科、并多次参加国内心电生理及冠脉介入培训班，<span style="color: black;">善于</span>心血管<span style="color: black;">平常</span><span style="color: black;">疾患</span>的诊治，尤其对冠脉介入治疗、顽固性心衰、<span style="color: black;">心率</span>失常、高血压病、心肾<span style="color: black;">综合症</span>的诊治有较高的造诣，曾<span style="color: black;">发布</span>医学论文多篇。</span></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;">源自</span>：<span style="color: black;">文案</span><span style="color: black;">转载</span>健康心血管公众号</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
我完全同意你的观点，说得太对了。
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