[心功不全] 心力衰竭医嘱式诊疗常规(国外英文资料).docVIP

[心功不全] 心力衰竭医嘱式诊疗常规 [cardiac failure] heart failure doctors order treatment routine Heart failure doctors prescribed treatment routine The degree of cardiac dysfunction (the NYHA classification method) (subjective) Ⅰ, asymptomatic Ⅱ, severe heart failure symptoms Ⅲ level: general activities such as walking have symptoms Symptoms of heart failure when Ⅳ, have a rest Incomplete stage (objective) A: heart failure risk factors, no heart disease Phase B: organic heart disease, no heart failure symptoms Phase C: symptoms of heart failure (current or past) Phase D: difficult heart failure Classification and diagnosis of One. Chronic systolic heart failure Having the history, symptoms and signs of a basic heart disease; Left heart failure signs: progressive breathing Difficult, nocturnal breathing difficulty, sit breath Little urine, purple and purple, and a little bit of a blister, The heart rate is accelerated, galloping, and the pulmonary artery second Hypercardio, alternating veins. Right heart failure sign: inferior, upper abdominal distensis, Nocturia, the jugular vein and the hypoglossal vein, The jugular pulsation, the swelling of the liver, The hepatic jugular vein is positive for reflux and the lower arm is concave Edema. The surrounding purple. The left room is enlarged, and the left ventricular retract the terminal capacity Increase and LVEF is less than or equal to 40%; Chest X-ray: blood stasis, interstitial pulmonary edema (Kerley B) Diastolic heart failure Having the history, symptoms and signs of the basic heart disease; Left heart failure, right heart failure, chest slice and systolic heart failure Heart colour to exceed: A, left atrial expansion. B left room is not enlarged; C LVEF 50%; D has left ventricular relaxation, stiffness, or refill. E/A 1.2 Three. Acute pulmonary edema Symptoms: sudden breathing difficulties, breathing in the end, the breathing rate of 30 times, sweat, cyanosis, cough, and pink frothy sputum Left heart failure signs: the lung