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心力衰竭的病理生理及临床

Pathophysiologic and clinical features of heart failure
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摘要 目的 :本文详细阐述了心力衰竭病理生理的最新概念 ,对目前治疗心力衰竭的一些常用药物及疗法进行分析论证 ,并提出了针对性的治疗新方案。方法 :查阅最新国内外文献 ,对心力衰竭的病理生理学机制和临床用药进行分析讨论。结果 :心力衰竭的临床生理病理学机制的研究有 3个方面进展 :①血液动力学异常。②循环内分泌和心脏组织“自分泌”“旁分泌”的激活。③心室重塑。结论 :随着细胞分子心脏病学的发展 ,心力衰竭的病生机制更加明了 ,其中心脏组织的“自分泌”“旁分泌”参与心室重塑的概念引起了国内外学者的高度重视 ,进而提出了在心力衰竭治疗中的抗重塑效应。 Objective:The paper illustrates the newest pathophysiologic notions of heart failure and analyses some present common drugs and treatments in curing heart failure as well as put forward the updated treatment plans.Methods:To read up the updated domestic and international literatures and analyse pathophysiological mechanism of heart failure and clinical therapy Results:There are three aspects of developments on the study of pathophysiologic mechanism of hear failure:①The Abnormal of blood dynamics.②The activation of circulation endocrine,autocvine and paracrine mechanism of heart tissue.③The remodeling of ventricular.Conclusion:With developing of cell molecule cardiology and further studying of pathophysiologic features of heart failure,the notion of autocrine and paraerine of heart tissue taking part in the remodeling of ventricular draw experts' much more attantion both home and abroad.The anti-remodeling therapy is put forward in the treatment of heart failure. [
作者 刘树清
出处 《内蒙古医学杂志》 2000年第5期359-362,共4页 Inner Mongolia Medical Journal
关键词 心力衰竭 循环内分泌 病理生理 治疗 Heart Failure Circulation Endocrine Remodeling
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参考文献5

  • 1Packer M.The neurohormonal hypothesis: A theory to explain the mechanism of disease progression in heart failure[].Journal of the American College of Cardiology.1992
  • 2Dzau VJ.Autocrine and paracrine mechanisms in the pathophysiology of heart failure[].The American Journal of Cardiology.1992
  • 3Katz Am.Heart failure in 2001: A prophecy[].The American Journal of Cardiology.1992
  • 4Lejemfel TH,Sonnenblick EM.Heart failure: Adaptive and maladaptive processes[].Circulation.1993
  • 5Paker M.The development of positive inotropic agents for chronic heart failure: How have we gone astray[].Journal of the American College of Cardiology.1993

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