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題 名 | 鬱血性心臟衰竭=Congestive Heart Failure |
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作 者 | 范洪春; 蔡明志; 歐天元; 喻永生; | 書刊名 | 國防醫學 |
卷 期 | 31:3 2000.09[民89.09] |
頁 次 | 頁210-219 |
專 輯 | 兒科急診專輯 |
分類號 | 418.2135 |
關鍵詞 | 鬱血性心臟衰竭; 增加心臟收縮藥物; 利尿劑; 血管擴張劑; ACE抑制劑; 磷酸雙酯抑制劑; β型接受器拮抗劑; Congestive heart failure; Inotropic agents; Diuretics; Vasodilators; ACE inhibitors; Phosphodiesterase inhibitors; β-blockers; |
語 文 | 中文(Chinese) |
中文摘要 | 鬱血性心臟衰竭是由於心臟無法滿足周邊組織的灌流需求,或者無法達到適當的靜脈回流,或二者皆有而產生的臨床症狀。有許多原因會造成鬱血性心臟衰竭,包括先天性心臟病或後天性心臟病,在治療上具有相當的挑戰性。 臨床上,小兒科的鬱血性心臟衰竭發生率以嬰兒最高,因為病人的年紀太小,無法清楚說明他們的症狀,而具許多非心臟性的疾病亦可表現出類似鬱血性心臟衰竭的症狀,因此,要將此類病人診斷出來是相當困難。 在治療上,由於手術技術的進步,許多有鬱血性心臟衰竭的病人從嬰兒時期就存活下來。所以,對所有小兒科的醫生而言,了解鬱血性心臟衰竭的各種病因是非常重要的。對於這些病人的急性與慢性的照護上,正確的使用增加心臟收縮藥物、利尿劑、血管擴張劑、ACE抑制劑、磷酸雙酯抑制劑以及β型接受器指抗劑會有相當的裨益。 |
英文摘要 | Congestive Heart failure (CHF) defined as the situation in which cardiac output and/or regional blood flow are inadequate for the metabolic demands of the patient. CHF occurring during infancy represents a diagnostic and therapeutic challenge because of the myriad of etiologies for CHF in this age group. Recognition of CHF is complicated additionally by the age of the patient, because infants are unstable to verbalize their symptoms, and infants manifest a variety of different noncardiac illnesses with sign and symptoms, which are common in CHF. Although the whole incidence of CHF in pediatric patients is highest in infancy, there are numerous causes of both right and left heart failure in childhood and adolescence. CHF occurring in this age group may results from congenital heart defects or from acquired heart diseases. With improved surgical techniques, a large number of children with CHF are now surviving through infancy. An awareness of the various etiologies of CHF is very important for all pediatricians. Optimal use of both non-invasive and invasive diagnostic modalities can be extremely useful in the diagnosis and subsequent management of CHF in these patients. The justicious administration of inotropic agents, diuretics, vasodilators, ACE inhibitor, phosphodiesterase inhibitor and β-blackers is essential providing effective acute and chronic care of these patients. |
本系統中英文摘要資訊取自各篇刊載內容。