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心衰(心力衰竭)是各种心血管疾病发展的终末阶段,病情凶险、死亡率高,如不能早期识别,及时处理,往往预后不佳。步入老年以后,由于全身各系统脏器老化、功能减退、神经反应迟钝,加之多种疾病并存,彼此相互干扰,而使得老年人心衰症状多不典型,临床表现变化多端,就像川剧中的“变脸”一样,令人捉摸不定。尤其在心衰早期,有的病人甚至可以毫无症状或仅是感觉疲劳而已。症状的多样性和非典型性是老年人心衰的一个重要特点。对此认识不足,是导致误诊误治的一个重要原因。那么,老年人心衰有哪些特殊表现呢?
Heart failure (heart failure) is the terminal stage of the development of various cardiovascular diseases, the disease is dangerous, high mortality, if not early identification, timely treatment, often poor prognosis. Into old age, due to aging of the body organs system, hypofunction, nerve slow reaction, combined with a variety of diseases coexist, interfering with each other, leaving the elderly atypical symptoms of heart failure, clinical changes in many, like Sichuan Opera “Face ”, as unpredictable. Especially in the early stage of heart failure, some patients may even have no symptoms or only feel tired. Symptom diversity and atypia are an important feature of heart failure in the elderly. This lack of understanding is an important reason leading to misdiagnosis and mistreatment. So, what are the special performance of elderly heart failure?