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肺心病心衰治疗中的几个特殊问题
http://www.100md.com 2007年11月1日 《中外健康文摘·临床医师》 2007年第11期
     【中图分类号】R541.5

    【文献标识码】A

    【文章编号】1672-5085(2007)11-0061-02

    【摘要】肺心病心衰蛋白质-能量营养不良的发生率大约占本类病人的10%~30%,晚期患者可达50%以上。心衰后内脏淤血缺氧,肠黏膜水肿及消化吸收功能降低,使营养物质吸收减少,肝脏淤血肿大,肝细胞受损,使蛋白质合成下降。慢性肺原性心脏病的患者,病史长,在病程中反复出现心力衰竭。对肺心病心力衰竭激活神经内分泌系统早已有所认识,但对于神经内分泌因素对心室重塑的分子细胞学基础的影响还是近年来研究的成果。

    【关键词】肺心病;心衰;治疗;特殊问题

    The heart disease from lung disorders heart fades in the treatment several special questions Xie Shuqing Chen Yunling

    【Abstract】The heart disease from lung disorders heart to fade the protein-energy malnutrition formation rate greatly to approximately compose this kind of patient 10%~30%,the later period patient may reach above 50%.After the heart fades the internal organs extravasated blood oxygen deficit,the intestines mucous membrane dropsy and the digestion absorption function reduces,causes the nutrients absorption to reduce,the liver extravasated blood is tumescent,the liver cell suffers injury,causes the protein synthesis to drop.The chronic lung original heart disease patient,the medical history is long,repeatedly has the heart failure in the course of an illness.Already has the understanding to the heart disease from lung disorders heart failure activation nerve endocrine system,but which remoulded the achievement to the ventricle the molecular cytology foundation influence or the recent years studies regarding the nerve internal secretion factor which. ......

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