肺心病英文中山大學(xué)內(nèi)科學(xué)(參考版)
2025-01-23 11:13本頁(yè)面
【正文】 UCG,et al. Diagnosis Differential diagnosis ?Coronary heart disease ?Primary cardiomyopathy ?Rheumatic heart disease ?Cyanotic congenital heart disease Compensation stage ? Treatment of primary disease ? Eliminate the predisposing factors ,avoid the acute exacerbation to restore the heart and lung function Treatment Depensation stage ? Treatment of respiratory failure ? Treatment of right heart failure Treatment ? Treatment of respiratory failure ? Antimicrobial treatment ? Bronchodilators, expectorants ? Sputum aspiration, airway maintenance ? Oxygen therapy ? Correct the acidbase and electrolyte imbalance Treatment ? Treatment of right heart failure ? Oxygen therapy, infection control and the measures to improve respiratory function can ameliorate the the symptoms of heart failure in most cases ? Appropriate diuretics, cardiotonics and vasodilators can be chosen when the treatments mentioned above fails Treatment Treatment of right heart failure ?Diuretics: ? Principle: Combine potassiumsparing diuretics and the diuretics that discharges potassium。 ? V1 R/S≥1 ? Marked clockwise rotation of the electrical axis： V5 R/S≤1 ? Rv1+Sv5 ＞ ? aVR R/S or R/Q≥1 ? V１ ~Ｖ ３ :QS, Qr, qr（ excluding myocardial infarction） ? Ppulmonale (tall peaked P waves in lead II) ? Secondary criteria : ? Low voltag
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