急性心源性肺水肿继续教育学习班.pptVIP

急性心源性肺水肿 江苏省人民医院 桂鸣 Diego Maradona was in intensive care in a local hospital Apr 19, 04, after suffering acute heart failure caused by high blood pressure. He, 43-year-old, was unable to breathe by himself, was receiving medication to strengthen the heart, and as he developed acute respiratory failure he was put on a ventilator From 2005年欧洲急性心衰诊断与治疗指南 冠心病是急性心衰的主要病因，约60～70％冠心病患者、尤其是老年患者发生急性心衰。而年轻人急性心衰多由扩心病、心律失常、先天性或瓣膜性心脏病、心肌炎所致 急性心衰的预后比较差，死亡率高，特别在伴有急性心衰的AMI患者中，一年死亡率为30％。 约45％的急性心衰患者在12个月内会至少再入院一次，15％至少入院两次。 病因 (一) 基本病因 心肌负荷过重 心肌病损：急性心肌梗死、心肌炎、心肌病、心肌中毒 3 心律失常: 快速房颤、室性或室上性心动过速 (二) 诱发因素 感染