Primary hospital diagnosis and treatment of early experience of heart failure.doc

 PAGE \* MERGEFORMAT 5 Primary hospital diagnosis and treatment of early experience of heart failure [Keywords:] diagnosis and treatment of heart failure In large modern hospital, early diagnosis and treatment of heart failure is not difficult. But in the absence of basic hospital equipment and technology modernization, resulting in early failure of the high rate of missed diagnosis and misdiagnosis, often developed into a serious effort failure, caused great difficulties to the treatment. our hospital from 1990 to 1995 a total of 40 cases of heart failure in early diagnosis and treatment, are summarized as follows on personal experience. 1 Clinical data We collected 40 cases, 36 cases of various existing structural heart disease, 4 cases of non-structural heart disease patients. The group aged 2 months to 86 years, 30 cases of heart failure, right heart failure in 8 cases the whole heart failure in 2 cases. 2 Diagnosis and treatment 2.1 Early diagnosis of heart failure: early clinical manifestations of heart failure after exercise, abnormal breathing difficulties and fatigue. Therefore, early to judge the heart of the reserve is the correct evaluation of the main labor force of dyspnea, the patient age, weight, exercise habits and body mass were consideration should be combined with clinical, ECG, or radiological examination revealed a heart performance, determination of vital capacity and cycle time may be helpful, digitalis and diuretic treatment can get better testing, early diagnosis of heart failure program may be established. based on clinical symptoms, diagnosis of early signs of heart failure or heart failure should be noted that implicit: (1) No reason to be investigated in sinus tachycardia, heart rate 110 beats / min or more. (2) physical activity in general when palpitation, shortness of breath, physical examination heart rate of 100 beats / min or more. (3) supine or nocturnal dry cough, no cough or sitting three-dimension