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本文对我院儿科68—84年收治的50例婴幼儿高原性心脏病合并心衰的临床特点,进行了观察总结,结果表明;婴幼儿高原性心脏病心衰基本符合婴幼儿心衰的临床表现,但还有其一定的临床特点,如心脏显著扩大,肺部湿鸣多,浮肿明显,预后较差等。其发生机理主要是高原缺氧,导致肺小动脉痉挛,造成严重的肺动脉高压。以及往往合并肺部炎症。所以临床表现为心脏呈球形扩大,肺部湿鸣密布,浮肿显著,心衰难以控制等。
In this paper, the clinical features of 50 cases of heart disease complicated by heart disease in infants and young children admitted to our hospital during 68-84 years were observed and summarized. The results showed that the heart failure of high altitude heart disease in infants and young children was basically in line with the clinical manifestations of heart failure Performance, but also some of its clinical features, such as significantly enlarged heart, lungs and more wet, obvious edema, poor prognosis. The main mechanism is hypoxia plateau, leading to spasm of pulmonary arterioles, causing severe pulmonary hypertension. And often complicated by inflammation of the lungs. Therefore, the clinical manifestations of the spherical sphere was enlarged, lungs wet mute, significant edema, difficult to control heart failure and so on.