欧洲急性心衰院前与早期处理共识.ppt

CONTENTS1.Deinitionandepidemiologyofacuteheartfailure急性心衰的定义与流行病学特点2.Prehospitalandearlymanagementstrategiesinacuteheartfailure急性心衰院前及早期治疗策略3.Initialclinicalevaluationandinvestigations早期评估和治疗4.Deinition,initialmanagementandmonitoringofcardiogenicshock心源性休克诊疗的定义和要点第3页,共22页，星期六，2024年，5月1.Deinitionandepidemiologyofacuteheartfailure2.Prehospitalandearlymanagementstrategiesinacuteheartfailure3.Initialclinicalevaluationandinvestigations4.Deinition,initialmanagementandmonitoringofcardiogenicshockCONTENTS第4页,共22页，星期六，2024年，5月解决软件开发企业核心难题2?Acuteheartfailure(AHF)isthetermusedtodescribetherapidonsetof,oracuteworseningofsymptomsandsignsofHF,associatedwithelevatedplasmalevelsofnatriureticpeptides.ＡＨＦ定义为：心力衰竭症状急性发作或加重，并伴有血浆脑利钠肽水平的升高。?MostofthepatientswithAHFpresentwithnormalorhighbloodpressureandwithsymptomsand/orsignsofcongestionratherthanlowcardiacoutput.与住院患者比较，急诊或院前ＡＨＦ的特点在于，绝大多数患者的血压正常或升高，伴有肺淤血症状和体征，而不是低心输出量。Deinitionandepidemiologyofacuteheartfailure第5页,共22页，星期六，2024年，5月Deinitionandepidemiologyofacuteheartfailure第6页,共22页，星期六，2024年，5月1.Deinitionandepidemiologyofacuteheartfailure2.Prehospitalandearlymanagementstrategiesinacuteheartfailure3.Initialclinicalevaluationandinvestigations4.Deinition,initialmanagementandmonitoringofcardiogenicshockCONTENTS第7页,共22页，星期六，2024年，5月急救战线前移：Asforacutecoronarysyndromes,the“time-to-treatment”conceptmaybeimportantinpatientswithAHF.Hence,allAHFpatientsshouldreceiveappropriatetherapyasearlyaspossible.和急性冠脉综合征一样，应秉承“及时治疗”理念治疗。所有急性心衰患者均应尽早接受适宜的治疗。第8页,共22页，星期六，2024年，5月Inthepre-hospitalsetting,AHFpatientsshouldbenefitfrom:Noninvasivemonitoring,includingpulseoximetry,bloodpressure,respiratoryrate,andacontinuousECG,institutedwithinminutesofpatientcontactandintheambulanceifpossible.Oxygenth