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一、老年患者心功能不全的诊断 70岁以上患者心功能不全的诊断常常容易过份,作者分析过50例70岁以上心功能不全住院患者病历,高度怀疑非心功能不全者占12例。 换气功能随年龄增高而降低,老年人劳力性呼吸困难并不一定是心功能不全。咳嗽和肺底哕音,可能和慢性阻塞性支气管病变有关;下肢浮肿可能只是由于长时间站立造成静脉功能不全所致;心动过速也可能和贫血有关
First, the diagnosis of heart failure in elderly patients 70 years of age patients with heart failure diagnosis is often too easy, the author analyzed 50 cases of 70-year-old patients with heart failure hospitalized patients, a high degree of suspected non-cardiac dysfunction accounted for 12 cases. Ventilation decreased with increasing age, labor fatigue in the elderly is not necessarily dysfunction of the heart. Cough and 肺 sound at the end of the lung may be related to chronic obstructive bronchial disease; lower limb edema may be caused by venous insufficiency due to standing for a long time; tachycardia may also be related to anemia