慢性肺源性心脏病 肺心病 呼吸系统疾病 内科学 课件.ppt

慢性肺源性心脏病chronic pulmonary heart disease;PULMONARY HYPERTENSION肺动脉高压（PH）;肺动脉高压（PH）;肺动脉高压（PH）;肺动脉高压分类;肺动脉高压分类;肺动脉高压分类;肺动脉高压分类;肺动脉高压分类;肺动脉高压分类;肺动脉高压;概念Concept;慢性肺源性心脏病;概况 General concept;病因Etiology;病因Etiology;发病率 Morbidity;发病机理Pathogenesis;一、肺动脉高压发病机理Pathogenesis of pulmonary hypertension;一、肺动脉高压发病机理;;肺动脉高压发病机理;肺动脉高压发病机理Pathogenesis of pulmonary hypertension;;pathogenesis;;;二、心脏病变和心力衰竭;;;;临床表现Clinical Features Cardio-pulmonary compensatory phase心肺功能代偿期：;临床表现Clinical Features Cardio-pulmonary compensatory phase心肺功能代偿期：;Respiratory failure呼吸衰竭： 症状:发生於急性呼吸道感染后，呼吸困难加重,夜间尤甚、浅快呼???,病情加重CO2麻醉时转为浅慢呼吸或潮式呼吸.头痛、失眠、烦躁、嗜睡、表情淡漠、神志恍惚、谵妄等 ;临床表现Clinical Features Cardio-pulmonary uncompensatory phase心肺功能失代偿期;临床表现Clinical Features Cardio-pulmonary uncompensatory phase心肺功能失代偿期;;临床表现;实验室检查Lab Findings 一 CXR;;右下肺动脉干扩张， 其横径≥ 15mm 横径与气管横径之比值≥1.07 肺动脉段明显突出 或其高度≥ 3mm 右心室增大征;;;;;肺动脉高压;;实验室检查;;电轴右偏，重度顺钟向转位，Rv1+Sv5 ≥1.05mV，肺型P波;实验室检查;;;;;;;;;治疗Therapy;治疗Therapy;治疗Therapy;治疗Therapy;治 疗Therapy;;治 疗Therapy;利尿;;治 疗Therapy;强心剂;;治 疗Therapy;;预后;预防;