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一、痨型克山病之概念痨型克山病是慢性代偿性心肌疾病,其症状为起病缓慢,有充血性心力衰竭之症状,如咳嗽、咳痰、呼吸困难等小循环淤血表现,及腹胀、肝肿大、水肿、尿少、四肢厥冷等大循环淤血表现。体征为颜面发绀、呼吸困难,面部及下肢浮肿,血压下降,心界扩大,第六听诊区收缩期吹风样杂音或心音不纯、心音减弱、奔马调、第三心音、心音分裂、心律不齐、心动过速或过缓,两肺常能听到湿性罗音,但体温不高或低于正常,肝肿大可平脐,小儿肝肿大可达脐下,有压痛,肝颈静脉回流征为阳性,水肿严重者有腹水。
First, the concept of 痨 type Keshan disease 痨 type Keshan disease is chronic compensatory myocardial disease, the symptoms of slow onset, symptoms of congestive heart failure, such as cough, sputum, dyspnea and other small circulation congestion performance , And abdominal distension, hepatomegaly, edema, oliguria, extremities and other symptoms of circulatory congestion. Signs of facial cyanosis, dyspnea, facial and lower extremity edema, decreased blood pressure, heart expansion, the sixth auscultation systolic hair-like noise or heart sounds impure, heart sounds weakened, Benmai tone, the third heart sound, heart sound split, heart rate Qi, tachycardia or bradycardia, lungs can often hear the wet rales, but the body temperature is not high or below normal, hepatomegaly can be flat umbilical, infantile hepatomegaly reachable up to the umbilical, tenderness, the hepatic jugular vein Reflux collected as positive, severe ascites.