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Etiology of severe pneumonia

Results analysis, Practical Preventive Medicine, 2001,[link widoczny dla zalogowanych],8 (6) :437-438. [5] credits of Chinese Medicine Respiratory Diseases Association. Hospital-acquired pneumonia diagnosis and treatment guidelines (draft). Chinese Journal of Tuberculosis and Respiratory Diseases, 1999,22 (4): 201. Clinical treatment of diastolic heart failure aged analysis of horse beat Abstract diastolic heart failure in elderly patients with clinical features and treatment. Methods A retrospective analysis from December 2005 to February 2009 the clinical data of 65 patients. Results in 65 patients,[link widoczny dla zalogowanych], effective in 21 cases (32%), effective 35 cases (58%), invalid 9 (10%) cases, the total effective rate was 90%. Invalid cases, 2 patients died. Conclusions Elderly patients with normal therapeutic use of angiotensin converting enzyme inhibitor (ACEI) or angiotensin Ⅱ receptor antagonist should be considered ineffective caused by diastolic dysfunction, timely and correct diagnosis and proper treatment can improve the prognosis. I Key words Aged; diastolic heart failure diastolic heart failure (diastolicheartfailure, DHF) in elderly cardiovascular patients is more common basis for many medical illnesses can be caused by different mechanisms of DHF, in which hypertension is the most important,[link widoczny dla zalogowanych], the most common cause of . Hospital from January 2005 l2 to February 2009 65 patients were treated elderly patients with diastolic heart failure, the report is summarized as follows. 1 Data and methods 1.1 General Information of this group 65 cases, including 48 male and 17 females; aged 60 to 82 years, mean age 71 years. 42 cases of hypertension, coronary heart disease in 22 cases, 15 cases of hypertension and coronary heart disease, hypertrophic cardiomyopathy 1O cases of CHD patients with type 2 diabetes l6,[link widoczny dla zalogowanych], previous chronic bronchitis, emphysema in 32 cases, combined pulmonary heart disease in 11 cases. 30 cases of cardiac function grade Ⅱ, Ⅲ grade 25 cases, Ⅳ 10 cases. 1.2 Case selection criteria of paroxysmal nocturnal dyspnea, or sleep arousal; jugular venous engorgement or pulsation enhancement; lung 哕 tone or decreased breath sounds, especially the lungs at the end; cardiac enlargement; acute pulmonary edema; non-Western to turn yellow due to clock; third heart sound gallop; jugular vein pressure elevation> 150cmHO; cycle time> 25s; jugular venous return and positive signs of liver; X-ray, the lung field on thickening the texture, or see to Kerley's B lines. Secondary conditions: ankle edema, or decreased urine output and weight gain; Supreme nighttime cough respiratory tract infection; exertional dyspnea; congestive hepatomegaly, and sometimes the performance of liver pain or discomfort; pleural effusion; tidal volume decreased to FVC 1 / 3; tachycardia (heart rate ≥ 120/min). Primary or secondary conditions: for the treatment of units: 475 200 Qi County of Henan Province People's Hospital of the reaction, 5d in weight loss> 4.5kg. Subject to these two major criteria or one major criterion plus two minor criteria can be diagnosed as heart failure. 1.3 All patients had clinical manifestations of varying degrees of heart is tired, fatigue, which exertional shortness of breath, palpitations, chest tightness in 52 cases,[link widoczny dla zalogowanych], 8 patients with chest pain; paroxysmal nocturnal dyspnea in 6 cases, 4 patients with orthopnea; loss of appetite, abdominal distension, constipation in 26 cases. Physical examination: heart rate in 26 cases, 22 cases decreased breath sounds in both lungs, with pulmonary rales wet the bottom of 17 cases with asthma Ming Music To O cases. 1.4 auxiliary examination ECG: sinus tachycardia 3l cases, 25 cases of sinus bradycardia, left ventricular hypertrophy in 12 cases, 11 cases of atrial fibrillation, ventricular premature beat in 19 cases, atrial contraction in 11 cases, I. AVB2 cases, RBBB5 cases, LBBB12 cases; chest: 21 cases of lung bleeding, the heart shadow is not 3O patients with mild heart shadow expansion of l0 cases, 4 cases of left atrial enlargement; echocardiography showed: left atrial diameter 35 ~ 42mm, the average 38mill, left ventricular internal diameter 42 ~ 57mm, the average 48illm, left ventricular ejection fraction (LVEF) 49 ~ ~ 60%, an average of 56%. 1.5 Diagnostic Criteria special meeting of the European Society of Cardiology diagnostic criteria for DHF, and the failure of China Association (CHFA) 2001 年 left ventricular diastolic dysfunction in heart failure diagnosis based on revised criteria, 35 patients were found DHF diagnosis. Classification of severity of heart failure by NYHA classification standards will be divided into four cardiac function, cardiac function is l-level, physical activity is not limited in decompensated heart failure; II cardiac function grade (I degree of heart failure), mild limitation of physical activity; Ⅲ grade cardiac function (Ⅱ severe heart failure), physical activity was limited; 1V-class cardiac function (Ⅲ heart failure), can not engage in any physical activity. 1.6 treatment given to rest, salt restriction and other general treatment, prevention and treatment of various heart failure

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