心力衰竭的阶段划分诊断与治疗98例分析

临床上各种原因引起的心功能障碍称心功能不全;伴随呼吸困难、乏力、水肿的心功能不全即为心衰(包括左心衰、右心衰和全心衰);是心脏病患者死亡的主要原因之一。早期准确地筛检出前心衰阶段(阶段A)和前临床心衰阶段(阶段B)的心脏病患者,给予门诊预防和治疗是降低当年内住院率和病死率的重要措施。其余的临床心衰阶段(阶段C)和难治性心衰阶段(阶段D)的患者给予住院合理治疗和纠正病因治疗,以改善生活质量和降低再住院率为目标。

Cardiac dysfunction caused by all kinds of reasons clinically often called cardiac insufficiency.Cardiac insufficiency with symptoms of dyspnea,exhausted and edema is also called heart failure,including left-side heart failure,right-side heart failure and both-sides heart failure.Heart failure is the leading death reason of most patients with cardiac diseases.First,screening early and accurately the cardiacs were wether in the pre-heart failure phase（phase A）and in the pre-clinical heart failure phase（phase B）.In this stage,prevention and therapy with outpatient services was the important measures to lower the hospitalization rate and the fatality rate in that very year.The cardiacs in clinical heart failure phase（phase C）and non-therapy clinical heart failure（phase D）were hopitalized and given etiologic therapy;the main goal was to improve the quality of life and lower the re-hospitalization rate.In the paper,the experience of diagnosis and therapy of patients with cardiac insufficiency in our outpatient clinic and our in-patient department was introduced.