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目的探讨分析舒张性心力衰竭的临床特征和治疗方法。方法回顾分析我院收治的96例舒张性心力衰竭(DHF)患者的临床资料及96例收缩性心力衰竭(SHF)患者的临床资料。结果 96例患者全部诊断为DHF,肺淤血是充血性心力衰竭的常见表现,DHF多以Ⅰ度心力衰竭为主,占70.83%,而SHF则以Ⅱ度、Ⅲ度心力衰竭为主,占75%,说明一般情况下DHF要明显轻于SHF。并且超声心动图检查结果表明EF、E/A、LVIDs、LVIDd等指标DHF与SHF有明显的差异。结论 DHF的治疗原则主要有三点:改善DHF症状,即对症治疗;原发疾病的治疗;对其病理机制的治疗。超声心动图在临床DHF的检查诊断中起着重要的作用。
Objective To investigate the clinical features and treatment of diastolic heart failure. Methods The clinical data of 96 patients with diastolic heart failure (DHF) admitted to our hospital and 96 patients with systolic heart failure (SHF) were retrospectively analyzed. Results All 96 patients were diagnosed as DHF. Pulmonary congestion was a common symptom of congestive heart failure. DHF was mostly classified as first degree heart failure, accounting for 70.83%, while SHF was mainly grade Ⅱ and Ⅲ heart failure, accounting for 75% %, Indicating that under normal circumstances, DHF should be significantly lighter than SHF. And echocardiography showed that there was a significant difference between DHF and SHF such as EF, E / A, LVIDs and LVIDd. Conclusion There are three main principles of DHF treatment: to improve the symptoms of DHF, that is symptomatic treatment; treatment of primary disease; its pathological mechanism of treatment. Echocardiography plays an important role in the diagnosis of clinical DHF.