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慢性心力衰竭基层合理用药指南

2021-01-30 中华医学会 中华全科医师杂志.2021.20(1):42-49.

慢性心力衰竭

心力衰竭（heart failure）简称心衰，是由于多种原因导致心脏结构和/或功能的异常改变，使心室收缩和/或舒张功能发生障碍，从而引起的一组复杂临床综合征。主要临床表现为呼吸困难、疲乏和液体潴留（

中文标题：

慢性心力衰竭基层合理用药指南

发布机构：

中华医学会

发布日期：

2021-01-30

简要介绍：

心力衰竭（heart failure）简称心衰，是由于多种原因导致心脏结构和/或功能的异常改变，使心室收缩和/或舒张功能发生障碍，从而引起的一组复杂临床综合征。主要临床表现为呼吸困难、疲乏和液体潴留（肺循环、体循环淤血及外周水肿）。常见病因为冠心病、高血压、心脏瓣膜病、心肌病、心脏毒性药物、放射性心肌损伤、免疫及炎症介导的心肌损伤等。

 

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1196422, encodeId=b23d119642256, content=好文👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d3b2210771, createdName=120d521dm50暂无昵称, createdTime=Wed Feb 23 14:25:52 CST 2022, time=2022-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1182707, encodeId=65041182e07b4, content=学习<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77af6451843, createdName=ms7000000167247375, createdTime=Mon Jan 10 06:58:58 CST 2022, time=2022-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1067555, encodeId=3445106e5551d, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Sat Nov 06 12:34:27 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066417, encodeId=698f106641e6b, content=心力衰竭<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:16 CST 2021, time=2021-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066416, encodeId=7a7d106641612, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:06 CST 2021, time=2021-11-02, status=1, ipAttribution=)]
    2022-02-23 120d521dm50暂无昵称

    好文👍

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1196422, encodeId=b23d119642256, content=好文👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d3b2210771, createdName=120d521dm50暂无昵称, createdTime=Wed Feb 23 14:25:52 CST 2022, time=2022-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1182707, encodeId=65041182e07b4, content=学习<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77af6451843, createdName=ms7000000167247375, createdTime=Mon Jan 10 06:58:58 CST 2022, time=2022-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1067555, encodeId=3445106e5551d, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Sat Nov 06 12:34:27 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066417, encodeId=698f106641e6b, content=心力衰竭<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:16 CST 2021, time=2021-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066416, encodeId=7a7d106641612, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:06 CST 2021, time=2021-11-02, status=1, ipAttribution=)]
    2022-01-10 ms7000000167247375

    学习#学习#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1196422, encodeId=b23d119642256, content=好文👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d3b2210771, createdName=120d521dm50暂无昵称, createdTime=Wed Feb 23 14:25:52 CST 2022, time=2022-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1182707, encodeId=65041182e07b4, content=学习<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77af6451843, createdName=ms7000000167247375, createdTime=Mon Jan 10 06:58:58 CST 2022, time=2022-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1067555, encodeId=3445106e5551d, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Sat Nov 06 12:34:27 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066417, encodeId=698f106641e6b, content=心力衰竭<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:16 CST 2021, time=2021-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066416, encodeId=7a7d106641612, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:06 CST 2021, time=2021-11-02, status=1, ipAttribution=)]
    2021-11-06 萌宝嘟嘟

    好东西

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1196422, encodeId=b23d119642256, content=好文👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d3b2210771, createdName=120d521dm50暂无昵称, createdTime=Wed Feb 23 14:25:52 CST 2022, time=2022-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1182707, encodeId=65041182e07b4, content=学习<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77af6451843, createdName=ms7000000167247375, createdTime=Mon Jan 10 06:58:58 CST 2022, time=2022-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1067555, encodeId=3445106e5551d, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Sat Nov 06 12:34:27 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066417, encodeId=698f106641e6b, content=心力衰竭<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:16 CST 2021, time=2021-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066416, encodeId=7a7d106641612, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:06 CST 2021, time=2021-11-02, status=1, ipAttribution=)]
    2021-11-02 1e1ac4a1m23(暂无匿称)

    心力衰竭#心血管#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1196422, encodeId=b23d119642256, content=好文👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d3b2210771, createdName=120d521dm50暂无昵称, createdTime=Wed Feb 23 14:25:52 CST 2022, time=2022-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1182707, encodeId=65041182e07b4, content=学习<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77af6451843, createdName=ms7000000167247375, createdTime=Mon Jan 10 06:58:58 CST 2022, time=2022-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1067555, encodeId=3445106e5551d, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Sat Nov 06 12:34:27 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066417, encodeId=698f106641e6b, content=心力衰竭<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:16 CST 2021, time=2021-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1066416, encodeId=7a7d106641612, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cdd51992964, createdName=1e1ac4a1m23(暂无匿称), createdTime=Tue Nov 02 23:01:06 CST 2021, time=2021-11-02, status=1, ipAttribution=)]
    2021-11-02 1e1ac4a1m23(暂无匿称)

    学习

    0

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