不容忽视的4个心衰信号记住它们,关键时
来源：心肌炎 时间：2020-11-30
重症心衰险丧命！
年2月24日的这一天，身体一向很好的高大姐出现了严重的心慌、气短，后背也一阵阵疼痛，她觉得可能是心脏有点儿问题，想忍一忍，没想到情况愈演愈烈，她呼吸越来越困难，连脸色都逐渐变得青紫。
最后，医院。医院就被送进了重症监护室，医生说，她得的是心力衰竭，简称心衰，可能需要进行心脏移植！
赵迎主任医师
医院心内科
一旦确诊心衰，患者五年的死亡率可达到50%；重症的心衰患者，在一年内的死亡率就高达50%！心衰死亡率是恶性肿瘤的2~3倍，不容忽视！
什么是心衰？跟着专家一起来了解一下吧~
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不良的生活习惯和劳累只是心衰的诱因，真正发展到心衰，一定有基础的心血管疾病。45.6%的冠心病病人和12.9%高血压患者会发展到心衰，扩张性心肌病、心脏瓣膜病也是常见的诱发心衰的心脏疾病。
除心脏本身的疾病外，糖尿病、肾脏疾病也有可能诱发心衰。其中，糖尿病是冠心病的等危症，一定要引起重视！心衰来临前，还有哪些预警信号？快跟着专家一起来揭晓答案。
信号一：劳力性呼吸困难
呼吸困难是心衰发生的最早、最常见、最典型的症状，通常表现是劳力性的，即稍微有一点体力活动，就会出现不同程度的喘息。但严重时，不活动也会发生严重喘息，即端坐呼吸困难。
专家丨提醒
并不是说所有的乏力、气喘都和心衰有关，如果跟同龄人相比，或跟3~6个月前的自己相比，体力明显地下降、活动后出现气喘，那就需要警惕，这可能是一个心衰的早期信号。
信号二：高枕卧位
夜里睡觉的时候，需要把枕头垫高或再加一个枕头，即高枕卧位，是心衰进一步加重的信号。
专家丨提醒
当心衰进一步加重，呼吸困难也进一步加重时，高枕卧位会失去缓解作用，患者会选择半卧位。
有些心衰患者平躺时，不光喘，还咳嗽，很多人会以为是支气管炎的问题，其实并不然↓
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俯身呼吸困难是心衰晚期或心衰进一步加重的信号，这跟心衰以后的肺淤血有关，因为俯身时，肺淤血会加重，导致人出现气喘。
严重的心衰患者弯腰系鞋带也会喘，快弯下腰系系鞋带测试一下吧~
信号四：体重快速增加
体重急剧、快速地增加，是心衰的早期信号。
体重出现上图变化，请尽早地去看医生，这很可能是心衰加重的一种表现。如果体重继续增长超过五公斤，患者会出现双下肢的可凹陷性水肿，注意心衰引发的水肿从脚背开始逐渐到脚踝、小腿、大腿。
心衰的检查
超声心动图可以检查心衰，如果左室射血分数在50%以下，说明你已经发生了心衰，需要找医生，针对病因做进一步的检查。
心衰的治疗
随着我们对心衰的认识不断地加深，现在对心衰的治疗形成了一个综合的管理模式↓
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健康提示：请出门戴口罩、勤洗手、多通风、少去人群密集处。
健康之路
《心衰信号莫忽视》
播出时间：10月27日18:05
监制/闫东主编/刘铭黄丽君
编辑/郭晓霞
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