一个世纪以来 ,心衰理论经历心肾学说、血流动力学学说、神经激素学说到现代的心室重塑学说。每一种学说来源于临床的观察与总结 ,形成理论后又为临床治疗带来巨大能动作用。本文综述了一个世纪以来心衰的理论发展及防治策略。1　心肾学说———后向性衰竭与前向性衰竭学说此种 For a century, the theory of heart failure has undergone the theory of heart and kidney, hemodynamics and neurohormones to the modern theory of ventricular remodeling. Each doctrine comes from the clinical observation and summary, after the formation of the theory for clinical treatment has brought a huge effect. This article reviews the theoretical development and control strategies of heart failure over the past century. 1 Cardiorespiratory theory --- retrogressive failure and anorexia such theory