78例心力衰竭临床治疗分析

Clinical Analysis of 78 Cases of Heart Failure

目的探讨心力衰竭临床特点,提高诊断和治疗水平。方法选取我院从2009年1月~2014年1月收治的78例心力衰竭患者,按NYHA心功能分级,II级28例,III级34例,IV级16例,分析病因及临床特点。结果在78例心力衰竭患者中,其中冠心病、高血压性心脏病分别占40%和20.5%,成为心力衰竭的主要致病因素。结论在心力衰竭治疗中,应彻底摒弃重治疗、轻预防的观点,而应把控制心血管疾病的高危因素贯穿到心力衰竭的全过程;同时积极接受心力衰竭治疗新观念,放弃过时的治疗原则,是改善心力衰竭患者预后的主要途径。

Objective To investigate the clinical characteristics of heart failure,improve the level of diagnosis and treatment.Methods Select 78 cases of heart failure in patients of our hospital from 2009 January to 2014 January,according to NYHA classification of cardiac function,28 cases of grade II,34 cases of grade III,16 cases of grade IV,clinical features and etiological analysis.Results In 78 cases of patients with heart failure,Coronary heart disease,hypertensive heart disease accounted for 40%and 20.5%,As the main pathogenic factors of heart failure.Conclusion In the treatment of heart failure,We should get rid of the concept of that the heavy treatment and prevention of light point,Active treatment of new concept of heart failure,give up treatment principle outdated,is the main way to improve the prognosis of patients with heart failure.