呼吸困难一定就是心衰吗？
<p><br/></p><p><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 心衰的症状主要表现为“喘”、“累”和“肿”，也就是呼吸困难、疲劳乏力和水肿。但呼吸困难是心衰患者最主要的症状，占80%以上，随着病情的恶化，呼吸困难也逐渐加重，心衰初始表现为活动后及劳累后气短，逐渐出现夜间阵发性呼吸困难，平卧时呼吸困难明显，坐起来后呼吸困难能减轻，最严重的时候完全不能平卧，同时还会出现张口呼吸。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="29956"><section style="margin-right: auto;margin-left: auto;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 120px;height: 110px;border-top: 1px solid rgb(255, 0, 0);border-right: 1px solid rgb(255, 0, 0);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin:-95px 15px -155px;"></section><section style="width:210px;height:170px;background-color:#fef4f3;"><br/></section></section></section></section><section data-support="96编辑器" data-style-id="24283"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="clear: both;border-width: 0px;border-style: none;border-color: initial;margin-top: 5px;margin-bottom: 5px;box-sizing: border-box;"><section style="border-top-width: 2.5px;border-top-style: solid;border-color: #f00;font-size: 1em;font-weight: inherit;text-decoration: inherit;color: #fefefe;box-sizing: border-box;"><section style="border-width: 0px;border-style: initial;border-color: #f00;margin-top: 2px;overflow: hidden;color: inherit;box-sizing: border-box;"><section style="display: inline-block;font-size: 1em;font-family: inherit;font-weight: inherit;text-align: inherit;text-decoration: inherit;color: inherit;border-color: #f00;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.4em;padding: 5px 10px;height: 32px;vertical-align: top;font-size: 16px;font-family: inherit;font-weight: bold;float: left;color: inherit;border-color: #f00;box-sizing: border-box !important;background: #f00;"><p style="letter-spacing: 2px;">出现呼吸困难的原因是什么？</p></section><section style="display: inline-block;vertical-align: top;font-size: 16px;width: 0px;height: 0px;border-top-width: 32px;border-top-style: solid;border-top-color: #f00;border-right-width: 32px;border-right-style: solid;border-right-color: transparent;border-top-right-radius: 4px;border-bottom-left-radius: 2px;color: inherit;box-sizing: border-box !important;"><br/></section></section></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 心衰患者出现呼吸困难归根结底与缺氧有关，因为心衰患者会出现肺淤血和肺水肿时，肺泡中氧气交换的效率会变低，从而导致血液中的氧含量下降。同时一部分的心衰患者合并有肺源性心脏病、肺栓塞、肺动脉高压等呼吸道疾病，而呼吸道相关疾病就容易出现呼吸困难。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="29956"><section style="margin-right: auto;margin-left: auto;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 120px;height: 110px;border-top: 1px solid rgb(255, 0, 0);border-right: 1px solid rgb(255, 0, 0);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin:-95px 15px -155px;"></section><section style="width:210px;height:170px;background-color:rgb(254, 244, 243);"><br/></section></section></section></section><section data-support="96编辑器" data-style-id="24283"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="clear: both;border-width: 0px;border-style: none;border-color: initial;margin-top: 5px;margin-bottom: 5px;box-sizing: border-box;"><section style="border-top-width: 2.5px;border-top-style: solid;border-color: #f00;font-size: 1em;font-weight: inherit;text-decoration: inherit;color: #fefefe;box-sizing: border-box;"><section style="border-width: 0px;border-style: initial;border-color: #f00;margin-top: 2px;overflow: hidden;color: inherit;box-sizing: border-box;"><section style="display: inline-block;font-size: 1em;font-family: inherit;font-weight: inherit;text-align: inherit;text-decoration: inherit;color: inherit;border-color: #f00;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.4em;padding: 5px 10px;height: 32px;vertical-align: top;font-size: 16px;font-family: inherit;font-weight: bold;float: left;color: inherit;border-color: #f00;box-sizing: border-box !important;background: #f00;"><p style="letter-spacing: 2px;">引起呼吸困难的疾病有哪些？</p></section><section style="display: inline-block;vertical-align: top;font-size: 16px;width: 0px;height: 0px;border-top-width: 32px;border-top-style: solid;border-top-color: #f00;border-right-width: 32px;border-right-style: solid;border-right-color: transparent;border-top-right-radius: 4px;border-bottom-left-radius: 2px;color: inherit;box-sizing: border-box !important;"><br/></section></section></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 引起呼吸困难的疾病非常的多，包括心血管系统疾病、呼吸系统疾病、肾功能不全、血液系统疾病、抑郁症等，甚至肥胖。</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 呼吸系统疾病如慢性支气管炎、肺气肿、慢性阻塞性肺疾病、支气管哮喘等疾病易出现呼吸困难，这些疾病往往呈进行性发展，起初在体力活动或运动后会感到气短、喘息，到后来即使轻微活动或走路即感到呼吸困难，致使劳动力丧失，严重影响日常生活，最后可导致呼吸衰竭和肺心病。另外肺栓塞常常表现为不明原因的呼吸困难，一般为急性呼吸困难，临床表现形式多样，但呼吸频率增快和静息状态下呼吸困难最常见。对于怀疑呼吸系统疾病引起呼吸困难的患者，应完善胸部CT、肺功能、血气分析等相关检查进行诊断与鉴别。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="29956"><section style="margin-right: auto;margin-left: auto;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 120px;height: 110px;border-top: 1px solid rgb(255, 0, 0);border-right: 1px solid rgb(255, 0, 0);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin:-95px 15px -155px;"></section><section style="width:210px;height:170px;background-color:#fef4f3;"><br/></section></section></section></section><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;box-sizing: border-box;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;box-sizing: border-box;" data-width="45%"><section style="border-top: 1pxsolid #f00;box-sizing: border-box;height:1px;"><br/></section></section><section style="width:7%;" data-width="7%"><p><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1pxsolid #f00;box-sizing: border-box;height:1px;"><br/></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;color: rgb(255, 76, 65);"> 心衰是出现呼吸困难最常见的心血管疾病</span><span style="font-size: 16px;">，但其他的心血管疾病也可以出现呼吸困难，甚至呼吸困难是唯一症状，如心肌梗死、心包填塞，这种情况在老年和糖尿病患者中更多见，在以呼吸困难而不是胸痛为主诉的就诊患者中，有可能出现漏诊，因此对于以呼吸困难就诊的患者我们一定要常规完成心电图和心脏彩超等检查。</span><br/></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 一些神经肌肉疾病可引起呼吸肌无力，导致急性呼吸衰竭，包括多发性硬化、吉兰-巴雷综合征、重症肌无力和肌萎缩侧索硬化症。另外中毒和代谢性疾病也是引起呼吸困难的常见病因，如一氧化碳中毒、贫血、糖尿病酮症酸中毒、脓毒症、肾功能不全等。上述这些疾病会通过影响呼吸肌功能、红细胞携氧能力不足、损害氧气运输及酸中毒等机制导致呼吸困难。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="29956"><section style="margin-right: auto;margin-left: auto;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 120px;height: 110px;border-top: 1px solid rgb(255, 0, 0);border-right: 1px solid rgb(255, 0, 0);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin:-95px 15px -155px;"></section><section style="width:210px;height:170px;background-color:#fef4f3;"><br/></section></section></section></section><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section><section style="width:7%;" data-width="7%"><p><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 综上所述，引起呼吸困难的疾病非常的多，因此呼吸困难不一定是心衰，而且也不是所有心衰患者都有呼吸困难的症状。对于因呼吸困难来诊的患者我们一定要明确引起呼吸困难的原因，治疗呼吸困难的同时治疗原发病，这样，我们才能够更好的、彻底的缓解甚至治愈呼吸困难。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32423" style="white-space: normal;"><section><section><section><section><section><section></section></section><section data-width="90%" style="width: 519.881px;"><br/></section></section></section></section></section></section><section style="white-space: normal;letter-spacing: 0.544px;font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section><section style="margin-top: 10px;margin-bottom: 10px;"><section style="padding-left: 11px;display: inline-block;width: 676.994px;vertical-align: top;box-sizing: border-box;"><section><section style="display: inline-block;width: 665.997px;vertical-align: top;background-color: rgba(255, 255, 255, 0);border-style: solid;border-width: 1px;border-radius: 0px;border-color: rgb(7, 48, 196);box-sizing: border-box;"><section><section style="margin-top: 10px;display: flex;flex-flow: row nowrap;text-align: left;justify-content: flex-start;transform: translate3d(-8px, 0px, 0px);"><section style="display: inline-block;vertical-align: top;width: auto;line-height: 0;letter-spacing: 0px;flex: 0 0 0%;height: auto;align-self: flex-start;"><section style="text-align: right;justify-content: flex-end;"><section style="display: inline-block;width: 8px;height: 45px;vertical-align: top;overflow: hidden;"><section style="text-align: center;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 7.8267px;height: auto;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 1.5 8.7" style="vertical-align: middle;width: 100%;" width="100%" data-width="100%"><g><path d="M1.5,0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V0.2z" fill="rgb(255,255,255)"></path></g><g><path d="M0.2,7.7H0V1c0-0.5,0.7-1,1.5-1v0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V7C0.8,7,0.2,7.3,0.2,7.7 z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,8.7C0.7,8.7,0,8.3,0,7.7s0.7-0.9,1.5-0.9V7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V8.7z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V7z" fill="#5f9cef"></path></g></svg></section></section></section></section></section><section style="margin-left: -1px;display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;align-self: flex-start;height: auto;"><section style="justify-content: flex-start;"><section style="padding-right: 20px;padding-left: 10px;display: inline-block;vertical-align: top;overflow: hidden;height: 36px;width: auto;min-width: 10%;border-width: 1px;border-bottom-right-radius: 100px;border-style: solid solid solid none;border-color: rgb(7, 48, 196) rgb(7, 48, 196) rgb(7, 48, 196) rgb(138, 50, 222);border-top-right-radius: 100px;border-bottom-left-radius: 0px;box-sizing: border-box;"><section style="color: rgb(7, 48, 196);text-align: center;letter-spacing: 2px;line-height: 2.2;"><p><strong>联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;"><section style="padding-right: 20px;padding-left: 20px;letter-spacing: 1.8px;line-height: 1.8;box-sizing: border-box;"><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">1、咨询株洲恺德心血管病医院订阅号<strong><span style="color: rgb(7, 48, 196);">在线客服；</span></strong><br/>2、咨询电话：<strong><span style="color: rgb(7, 48, 196);">0731-28263456</span></strong></span></p><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">3、住院部地址：株洲恺德心血管病医院<span style="color: rgb(7, 48, 196);"><strong>第二住院大楼4楼（心衰中心）</strong></span></span></p><p><span style="font-size: 16px;"><span style="color: rgb(0, 0, 0);">4、</span><strong style="color: rgb(7, 48, 196);">心衰门诊地址</strong><span style="color: rgb(0, 0, 0);"><strong>：</strong></span><strong style="color: rgb(7, 48, 196);">新华西路门诊部2号诊室</strong><span style="color: rgb(0, 0, 0);">（<span style="color: rgb(62, 62, 62);letter-spacing: 1.8px;">华润万家对面</span>）</span></span></p></section></section></section></section></section></section></section><section><section style="border-top: 1px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;border-top: 4px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section><p style="text-align: right;"><span style="font-size: 12px;letter-spacing: 0.544px;">文案：任承潜</span><span style="letter-spacing: 0.544px;text-align: justify;"></span></p></section></section></p><p style="white-space: normal;"><br/></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_y3Z" id="wcn_editor_css"/>
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