Urban P
Centre de cardiologie, Hôpital cantonal universitaire de Genève.
Schweiz Med Wochenschr. 1990 Dec 8;120(49):1838-44.
The clinical syndrome of severe acute heart failure may be caused by several distinct mechanisms. Some of these require a specific approach in addition to general measures, and prompt diagnosis is thus of great importance in order to define the initial and long-term therapeutic targets. This review recalls the basic principles of differential diagnosis and pharmacological treatment. The logistics of diagnosis and treatment inside the hospital are also discussed. The respective uses of mechanical ventilation, intraaortic balloon counterpulsation and ventricular assist devices are outlined.
严重急性心力衰竭的临床综合征可能由几种不同的机制引起。其中一些除了一般措施外还需要特定的方法，因此为了确定初始和长期治疗目标，快速诊断非常重要。本综述回顾了鉴别诊断和药物治疗的基本原则。还讨论了医院内诊断和治疗的流程。概述了机械通气、主动脉内球囊反搏和心室辅助装置的各自用途。
