重庆医科大学第二临床学院教案 2008年11月 授课题目：心力衰竭 授课教师：罗开良 授课对象：2005级尼泊尔学生 学时：3学时 目的要求 掌握心力衰竭的病因、病理生理、临床表现、诊断和鉴别诊断及治疗原则。 2.熟悉心力衰竭的发病原理和洋地黄剂、利尿剂，血管扩张剂的合理应用及急性左 心衰竭的抢救. 重点：心力衰竭的病理生理、临床表现、诊惭和鉴别诊晰及治疗原则 点：心功能代偿调节的血流动学变化，舒张性心衰 教学方法：课堂讲授，辅以多媒体课件，结合见习病例。 主要内容、方法及时间分配：课堂讲授结合见习病例 1.Definition (8:00~8:04) 2.Epidemiology (8:05~8:08) 8 CAUSES OF HEART FAILUIRE(8-08~8-18) 4.MECHANISMS OF HEART FAILURE (8:18~8:40) 5.FORMS OF HEART FAILURE (8:50~8:55) 6.Functional Classification (New York Heart Association)(1994) (8:55-9:10) CLINICAL MANIFESTATIONS OF HEART FAILURE (9:10~9:30) RESPIRATORY DISTURBANCES Orthopnea Paroxysmal (Nocturnal)Dyspnea Cardiac asthma Acute pulmonary edema OTHER SYMPTOMS:Fatigue and Weakness:Abdominal Symptoms PHYSICAL FINDINGS Pulmonary Rales,Cardiac Edema,Hydrothorax and Ascites, Congestive Hepatomegaly,Jaundice,Cardiac Cachexia,Other Manifestations 8.Diagnosis and differential diagnosis (9:40~-9:50) Framingham Criteria for Diagnosis of Congestive Heart Failure differential diagnosis:Puln embolism,Ankle edem MEASSUREMENT OF BRAIN NATRIURETIC PEPTIDE (BNP) APPROACH TO THE PATIENT 9.TREATMENT of HEART FAILURE(9:50一11：20) General measures CONTROL OF EXCESSIVE FLUID:Diuretics Angiotensin-Converting Enzyme (ACE)Inhibitors Angiotensin Receptor Blockers (ARB) Beta-Adrenoceptor Blockers ENHANCEMENT OF MYOCARDIAL CONTRACTILITY
重庆医科大学第二临床学院教案 2008 年 11 月 授课题目：心力衰竭 授课教师：罗开良 授课对象：2005 级尼泊尔学生 学 时：3 学时 目的要求： 1．掌握心力衰竭的病因、病理生理、临床表现、诊断和鉴别诊断及治疗原则． 2．熟悉心力衰竭的发病原理和洋地黄剂、利尿剂，血管 扩张剂的合理应用及急性左 心衰竭的抢救． 重 点：心力衰竭的病理生理、临床表现、诊断和鉴别诊断及治疗原则 难 点：心功能代偿调节的血流动学变化，舒张性心衰 教学方法：课堂讲授，辅以多媒体课件，结合见习病例。 主要内容、方法及时间分配：课堂讲授结合见习病例 1. Definition （8:00～8:04） 2. Epidemiology （8:05～8:08） 3. CAUSES OF HEART FAILURE( 8:08～8:18) 4. MECHANISMS OF HEART FAILURE (8:18～8:40) 5. FORMS OF HEART FAILURE (8:50～8:55) 6. Functional Classification （New York Heart Association）（1994） (8:55～9:10) 7. CLINICAL MANIFESTATIONS OF HEART FAILURE (9:10～9:30) RESPIRATORY DISTURBANCES Orthopnea Paroxysmal (Nocturnal) Dyspnea Cardiac asthma Acute pulmonary edema OTHER SYMPTOMS：Fatigue and Weakness；Abdominal Symptoms PHYSICAL FINDINGS Pulmonary Rales，Cardiac Edema，Hydrothorax and Ascites， Congestive Hepatomegaly，Jaundice，Cardiac Cachexia，Other Manifestations 8. Diagnosis and differential diagnosis (9:40～9:50) Framingham Criteria for Diagnosis of Congestive Heart Failure differential diagnosis: Pulmonary embolism, Ankle edema MEASSUREMENT OF BRAIN NATRIURETIC PEPTIDE (BNP) APPROACH TO THE PATIENT 9.TREATMENT of HEART FAILURE (9:50～11:20) General measures CONTROL OF EXCESSIVE FLUID：Diuretics Angiotensin-Converting Enzyme (ACE) Inhibitors Angiotensin Receptor Blockers（ARB） Beta-Adrenoceptor Blockers ENHANCEMENT OF MYOCARDIAL CONTRACTILITY
Digitalis Sympathomimetic Amines Phosphodiesterase Inhibitors VASODILATORS VENTRICULAR RESYNCHRONIZATION MANAGEMENT OF ARRHYTHMIAS TREATMENT OF DIASTOLIC HEART FAILURE ASSISTED CIRCULATION/CARDIAC TRANSPLANTATION TREATMENT OF ACUTE HEART FAILURE
Digitalis Sympathomimetic Amines Phosphodiesterase Inhibitors VASODILATORS VENTRICULAR RESYNCHRONIZATION MANAGEMENT OF ARRHYTHMIAS TREATMENT OF DIASTOLIC HEART FAILURE ASSISTED CIRCULATION/CARDIAC TRANSPLANTATION TREATMENT OF ACUTE HEART FAILURE