慢性心力衰竭基层诊疗指南(2019年)

2019-10-30 中华医学会 中华全科医师杂志.2019,18(10):936-947.

心力衰竭(心衰)是一种临床综合征,定义为由于任何心脏结构或功能异常导致心室充盈或射血能力受损的一组复杂临床综合征。其主要临床表现为呼吸困难和乏力(活动耐量受限)以及液体潴留(肺淤血和外周水肿)。 该指南从基层医疗卫生机构的实际工作出发,在心力衰竭早期识别与诊断、转诊和社区管理、患者自我管理和家庭管理方面给出了明确的指导。

中文标题:

慢性心力衰竭基层诊疗指南(2019年)

发布机构:

中华医学会

发布日期:

2019-10-30

简要介绍:

心力衰竭(心衰)是一种临床综合征,定义为由于任何心脏结构或功能异常导致心室充盈或射血能力受损的一组复杂临床综合征。其主要临床表现为呼吸困难和乏力(活动耐量受限)以及液体潴留(肺淤血和外周水肿)。 该指南从基层医疗卫生机构的实际工作出发,在心力衰竭早期识别与诊断、转诊和社区管理、患者自我管理和家庭管理方面给出了明确的指导。


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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1051738, encodeId=b8701051e3810, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:07:51 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002642, encodeId=56481002642af, content=谢谢!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb232390492, createdName=hbn1987, createdTime=Mon Jul 26 05:56:12 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908459, encodeId=ef6b908459a0, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c9ae5444884, createdName=ms7000001304090537, createdTime=Wed Dec 16 09:13:33 CST 2020, time=2020-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=901515, encodeId=03649015155e, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90732147078, createdName=MayF, createdTime=Mon Nov 23 18:14:20 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896246, encodeId=c31f8962464a, content=非常感谢,感觉受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88bc5431029, createdName=ms5000001621602853, createdTime=Mon Nov 02 13:22:36 CST 2020, time=2020-11-02, status=1, ipAttribution=)]
    2021-09-16 湘雅科教

    值得学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1051738, encodeId=b8701051e3810, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:07:51 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002642, encodeId=56481002642af, content=谢谢!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb232390492, createdName=hbn1987, createdTime=Mon Jul 26 05:56:12 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908459, encodeId=ef6b908459a0, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c9ae5444884, createdName=ms7000001304090537, createdTime=Wed Dec 16 09:13:33 CST 2020, time=2020-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=901515, encodeId=03649015155e, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90732147078, createdName=MayF, createdTime=Mon Nov 23 18:14:20 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896246, encodeId=c31f8962464a, content=非常感谢,感觉受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88bc5431029, createdName=ms5000001621602853, createdTime=Mon Nov 02 13:22:36 CST 2020, time=2020-11-02, status=1, ipAttribution=)]
    2021-07-26 hbn1987

    谢谢!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1051738, encodeId=b8701051e3810, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:07:51 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002642, encodeId=56481002642af, content=谢谢!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb232390492, createdName=hbn1987, createdTime=Mon Jul 26 05:56:12 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908459, encodeId=ef6b908459a0, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c9ae5444884, createdName=ms7000001304090537, createdTime=Wed Dec 16 09:13:33 CST 2020, time=2020-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=901515, encodeId=03649015155e, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90732147078, createdName=MayF, createdTime=Mon Nov 23 18:14:20 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896246, encodeId=c31f8962464a, content=非常感谢,感觉受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88bc5431029, createdName=ms5000001621602853, createdTime=Mon Nov 02 13:22:36 CST 2020, time=2020-11-02, status=1, ipAttribution=)]
    2020-12-16 ms7000001304090537

    非常实用

    0

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    2020-11-23 MayF

    实用

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1051738, encodeId=b8701051e3810, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:07:51 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002642, encodeId=56481002642af, content=谢谢!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb232390492, createdName=hbn1987, createdTime=Mon Jul 26 05:56:12 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908459, encodeId=ef6b908459a0, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c9ae5444884, createdName=ms7000001304090537, createdTime=Wed Dec 16 09:13:33 CST 2020, time=2020-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=901515, encodeId=03649015155e, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90732147078, createdName=MayF, createdTime=Mon Nov 23 18:14:20 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896246, encodeId=c31f8962464a, content=非常感谢,感觉受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88bc5431029, createdName=ms5000001621602853, createdTime=Mon Nov 02 13:22:36 CST 2020, time=2020-11-02, status=1, ipAttribution=)]
    2020-11-02 ms5000001621602853

    非常感谢,感觉受益匪浅

    0