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[肺心病与肺心病失代偿——这些术语的未来何去何从?]

[Cor pulmonale and cor pulmonale decompensation--what is the future of these terms?].

作者信息

Widimský J, Jezek V

机构信息

Katedra Kardiologie ILF, Praha-Krc.

出版信息

Vnitr Lek. 1990 Jul;36(7):704-9.

PMID:2247974
Abstract

Decompensated cor pulmonale is a clinical syndrome manifested by signs of congestive heart failure in pulmonary disease. The authors emphasize that the haemodynamic characteristic of the syndrome differs substantially from the classical picture of chronic heart failure: the cardiac output is usually normal at rest and sometimes even during exercise, signs of impaired contractility of the right ventricle are absent and the effect of cardiac glycosides is minimal. It is possible that the clinical syndrome of decompensated cor pulmonale is caused mainly by respiratory failure and subsequent impaired function of some organs, in particular the kidney.

摘要

失代偿性肺心病是一种临床综合征,表现为肺部疾病所致的充血性心力衰竭体征。作者强调,该综合征的血流动力学特征与慢性心力衰竭的典型表现有很大不同:静息时心输出量通常正常,有时甚至在运动时也是如此,不存在右心室收缩功能受损的体征,且强心苷的作用极小。失代偿性肺心病的临床综合征可能主要由呼吸衰竭以及随后某些器官(尤其是肾脏)功能受损所致。

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