銆婂惊鐜郴缁熴�?/p>
涓�銆佸績鍔涜“绔?/p>
鏈�涓昏鍘熷洜锛氬績鑲屾敹缂╁姏鍑忓急锛?/p>
鏈�甯歌璇卞洜锛氭劅鏌擄紱
楂樿鍘嬶細鍚庤礋鑽凤紱
蹇冨姛鑳藉垎绾э細
NYHA
鍒嗙骇锛堝績琛帮級鍜?/p>
Killip
锛堝績姊楋級鍒嗙骇锛?/p>
A
锛氭棤鏀瑰彉鏃犵棁鐘讹紱
B
锛氭湁鏀瑰彉鏃犵棁鐘讹紱
C
锛氭湁鐥囩姸鏈夋敼鍙橈紱
D
锛氶〗鍥烘�у績鍔涜“绔紝棰勫悗杈冨樊锛?/p>
锛堜竴锛夋參鎬у績鍔涜“绔?/p>
1.
鎱㈡�у乏蹇冭“锛氭渶鏃╁嚭鐜板姵鍔涙�у懠鍚稿洶闅撅紝鏈�鍏稿瀷琛ㄧ幇澶滈棿闃靛彂鎬у懠鍚稿洶闅撅紱鏈�涓ラ噸琛ㄧ幇绔潗鍛煎惛銆備綋寰侊細鍙岃偤搴曟箍鍟伴煶鎴栧弻鑲哄簳涓?/p>
灏忔按娉￠煶锛?/p>
2.
鎱㈡�у彸蹇冭“锛氭渶鏃╄〃鐜板弻涓嬭偄姘磋偪锛屾渶鍏稿瀷琛ㄧ幇鑲濋闈欒剦鍥炴祦寰侀槼鎬э紱
棣栭�夋鏌ワ細
UCG
锛堣秴澹板績鍔ㄥ浘锛夛紱
BNP
锛堣娴嗚剳鍒╅挔鑲斤級鍒ゆ柇蹇冭“棰勫悗锛?/p>
娌荤枟锛氬埄灏裤�?/p>
ACEI
銆?/p>
b-
鍙椾綋闃绘粸鍓傦紱
娲嬪湴榛勯�傚簲璇侊細蹇冭“
+
鎴块ⅳ锛屽績琛?/p>
+
蹇冭厰鎵╁ぇ锛?/p>
绂佸繉璇侊細鈥滄�ユ
鑲ラ奔涓嶈兘鍚冣�?/p>
鏈�鏃╁嚭鐜板績寰嬪け甯革細瀹ゆ棭锛屽鎬ф湡鍓嶆敹缂╋紱
娲嬪湴榛勪腑姣掞細鑻ラ捑浣庨閫夎ˉ閽惧啀鐢ㄨ嫰濡ヨ嫳閽狅紝鑻ラ捑涓嶄綆鐩存帴鐢ㄨ嫰濡ヨ嫳閽狅紱
鈥滄瘮鍗＄編鈥濇瘮绱㈡礇灏斻�佺編鎵樻礇灏旓紝鍗＄淮鍦版礇鍙互鐢ㄤ簬娌荤枟蹇冭“锛?/p>
锛堜簩锛夋�ユ�у乏蹇冭“
涓村簥琛ㄧ幇锛氭�ユ�ц偤姘磋偪锛涘挸绮夌孩鑹叉场娌棸锛涗綋寰侊細鍙岃偤甯冩弧骞叉箍鍟伴煶锛?/p>
娌荤枟锛氳鍘嬮珮纭濇櫘閽狅紝琛�鍘嬩綆瑗垮湴鍏帮紝琛�鍘嬩笉楂樹笉浣庡憢濉炵背锛堥�熷翱锛夈�?/p>
浜屻�佸績寰嬪け甯?/p>
鎵�鏈夊績寰嬪け甯搁閫夋鏌ユ柟娉曪細
ECG
锛堝績鐢靛浘锛夛紱
1
鍒?/p>
鎵�鏈夊績寰嬪け甯告不鐤楀師鍒欙細娌℃湁鐥囩姸涓嶆不鐤楋紝鏈変簡鐥囩姸鎵嶆不鐤楋紱琛�鍘嬫甯告垜鐢ㄨ嵂锛岃鍘嬩綆鎴戠數鍑伙紝鐪嬪埌鍋跺彂蹇呰瀵熴�?/p>
III
掳鎴垮浼犲闃绘粸锛氬彧鑳界敤浜哄伐蹇冭剰璧锋悘鍣紱
锛堜竴锛夋埧棰?/p>
蹇冪數鍥撅細
P
娉㈡秷澶憋紝鍑虹幇灏?/p>
f
娉紙
350-600
娆?/p>
/
鍒嗭級锛屽績瀹ょ巼銆佸績寰嬬粷瀵逛笉瑙勫垯锛?/p>
娌荤枟锛氳浆澶嶇寰嬶紝缁存寔绐﹀緥锛屾帶鍒跺寰嬶紝鎶楀嚌锛?/p>
锛?/p>
1
锛夊鎴块ⅳ
48
灏忔椂涔嬪唴锛屾寜鐓т互涓婂洓涓楠ゆ不鐤楋紱
杞绐﹀緥鐢ㄤ袱閰紝鍓?/p>
3
鍚?/p>
4
瑕佹姉鍑濓紝鑳虹閰拰鏅綏甯曢叜杞绐﹀緥锛屾湁鍣ㄨ川鎬у績鑴忕梾缁濆涓嶇敤鏅綏甯曢叜锛?/p>
鎺у埗瀹ょ巼鐢ㄩ潪浜屾阿鍚″暥绫伙細缁存媺甯曠背鍜屽湴灏旂～鍗擄紱
鎶楀嚌锛氬崕娉曟灄锛?/p>
INR2-3
锛?/p>
锛?/p>
2
锛夊鎴块ⅳ锛?/p>
48
灏忔椂锛?/p>
3
鍛ㄢ啋杞鈫?/p>
4
鍛紝
锛?/p>
3
锛夋寔缁�ф埧棰わ細鎴块ⅳ鎸佺画
7
澶╋紱
锛堜簩锛夊涓婇�?/p>
1.
绐佸彂绐佹
+
蹇冨鐜囩粷瀵硅鍒欙紝蹇冨鐜?/p>
150-250
娆?/p>
/
鍒嗭紙
180
娆?/p>
/
鍒嗭級锛岀獎
QRS
娉紝閫嗚
P
娉紱
2.
棣栭�夎吅鑻锋垨缁存媺甯曠背娌荤枟锛涢婵�寮曡捣鐨勫涓婇�熷彧鑳介�夋嫨鑵鸿嫹鎴栦袱閰紙鑳虹閰拰鏅綏甯曢叜锛夛紱
3.
瀹や笂閫熸不鐤楁渶濂藉皠棰戞秷铻嶃�?/p>
锛堜笁锛夊鎬у績寰嬪け甯革細
鏈夌棁鐘剁殑瀹ゆ�у績寰嬪け甯革紝鏃犺瀹ゆ棭鎴栨槸瀹ゆ�у績鍔ㄨ繃閫熼閫夊埄澶氬崱鍥狅紱鍒╁鍗″洜鏃犳晥閫夋嫨鑳虹閰�傚鏈夎娴佸姩鍔涘闅滅棣栭�夌數澶嶅緥銆?/p>
琛�鍘嬩綆鍗充负琛�娴佸姩鍔涘闅滅銆?/p>
1.
瀹ゆ�у績鍔ㄨ繃閫?/p>