Heart failure Department of Pathophysiology Zhang XIao-ming
Heart Failure Department of Pathophysiology Zhang Xiao-ming
Clinical example 病史:患者,女,40岁,风湿性心脏病 史10余年。近3月来出现劳累后心慌、闷 必气,件浮肿、腹胀,不能平卧。 体查:重病容,半坐卧位,颈静脉怒张,呼 吸36次/分,两肺底可闻湿性罗音。心界 向左右两侧扩大,心率130次/分,血压 (110/80mmHg)
病史：患者，女，40岁，风湿性心脏病 史10余年。近3月来出现劳累后心慌、闷 气，伴浮肿、腹胀，不能平卧。 体查：重病容, 半坐卧位, 颈静脉怒张, 呼 吸36次/分, 两肺底可闻湿性罗音。心界 向左右两侧扩大, 心率130次/分, 血压 (110/80mmHg) 。 Clinical example
心尖部可闻ⅣV级收缩期吹风样及舒张期 雷呜样杂音。肝脏在右肋下6cm可触及, 有压痛,腹部有移动性浊音,骶部及下 冷Y肢明显凹陷性水肿
心尖部可闻IV级收缩期吹风样及舒张期 雷鸣样杂音。肝脏在右肋下6cm可触及， 有压痛，腹部有移动性浊音，骶部及下 肢明显凹陷性水肿
1. Basic Concepts 2. Causes 3. Classification of heart failure 4. Pathogenesis of heart failure 828 5. Compensatory mechanisms in heart failure 6. Functional and metabolic alterations 7. Treatment principles
1. Basic Concepts 2. Causes 3. Classification of heart failure 4. Pathogenesis of heart failure 5. Compensatory mechanisms in heart failure 6. Functional and metabolic alterations 7. Treatment principles
1. Basic Concepts (1)Heart failure (2 )Cardiac insufficiency (3)Congestive heart failure
1. Basic Concepts (1) Heart failure (2) Cardiac insufficiency (3) Congestive heart failure