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--> 00:03.229\n嗯。\n\n00:04.678 --> 00:04.928\n嗯，\n\n00:04.928 --> 00:05.579\n大家好，\n\n00:05.579 --> 00:10.529\n我今天跟大家就是共享一个慢性肺源性心脏病的，\n\n00:11.829 --> 00:12.229\n嗯，\n\n00:12.579 --> 00:13.979\n一个小课件。\n\n00:14.949 --> 00:16.850\n慢性肺源性心脏病呢，\n\n00:16.850 --> 00:18.250\n分为以下几种。\n\n00:19.225 --> 00:24.625\n包括慢性肺源性心脏病、疾病本身以及缺氧。\n\n00:25.666 --> 00:29.216\n慢性缺氧、缺血、缺氧性肺源性心脏病，\n\n00:29.566 --> 00:34.317\n以及它的诊断与检查、治疗、预防和管理，\n\n00:34.317 --> 00:36.317\n以及它的预后和并发症。\n\n00:36.716 --> 00:42.716\n那么先讲一下什么是慢性心脏肺源性心脏病。\n\n00:43.895 --> 00:50.796\n慢性肺源性心脏病是慢性肺部疾病引起的右心肥大或扩张，\n\n00:51.096 --> 00:53.645\n导致心脏功能的障碍。\n\n00:53.895 --> 00:55.620\n那么按照病因分呢，\n\n00:55.620 --> 00:58.245\n可以分为慢性肺源性心脏病，\n\n00:58.546 --> 01:04.646\n可以分为慢性阻塞性肺病和肺动脉高压等不同类型。\n\n01:04.945 --> 01:05.371\n那么，\n\n01:05.371 --> 01:07.871\n按照按照临床表现分类呢，\n\n01:07.871 --> 01:11.445\n可以分为慢性肺炎、心脏病急性加重。\n\n01:12.614 --> 01:16.964\n和稳定期各有不同的治疗和管理策略。\n\n01:20.796 --> 01:24.022\n那么按照它的发病疾病发病机制，\n\n01:24.022 --> 01:26.946\n我们可以看到长期肺部疾病的影响。\n\n01:27.970 --> 01:29.919\n对于慢性肺源性心脏病，\n\n01:29.919 --> 01:32.794\n长期肺部疾病可以导致肺动脉高压，\n\n01:32.794 --> 01:36.220\n进而引发慢性肺源性心脏病。\n\n01:36.669 --> 01:40.519\n它可以导致低氧血症以及红细胞增多。\n\n01:40.970 --> 01:44.419\n因为低氧血症刺激红细胞增多，\n\n01:44.720 --> 01:46.919\n导致血液的粘稠度增高，\n\n01:46.919 --> 01:48.694\n增加然后呢，\n\n01:48.694 --> 01:50.319\n加重心脏的负荷，\n\n01:50.319 --> 01:52.019\n促进疾病的发展。\n\n01:52.884 --> 01:53.533\n那么对于。\n\n01:54.471 --> 01:58.746\n肺血管的重塑就是慢性炎症或者缺氧，\n\n01:58.746 --> 02:00.871\n导致肺血管结构改变，\n\n02:01.271 --> 02:02.471\n血管壁增厚，\n\n02:02.471 --> 02:03.670\n管腔狭窄，\n\n02:03.771 --> 02:06.271\n增加心脏的后负荷。\n\n02:07.614 --> 02:08.914\n那么常常见类型。\n\n02:09.876 --> 02:14.175\n就是包括慢性阻塞性肺病相关的心脏病，\n\n02:14.175 --> 02:18.526\n包括COPD是慢性肺炎性心脏病的主要病因，\n\n02:18.876 --> 02:22.076\n长期的气道炎症和阻塞。\n\n02:23.171 --> 02:25.070\n导致心脏的负荷加重，\n\n02:25.570 --> 02:29.895\n那么对于肺动脉高压引起的心脏病，\n\n02:29.895 --> 02:34.520\n包括肺动脉高压导致右心室的负荷增加，\n\n02:35.070 --> 02:39.570\n长期下去和发展为慢性肺源性心脏病。\n\n02:40.333 --> 02:44.533\n那么第三个间质性肺病相关性疾病，\n\n02:45.033 --> 02:48.083\n间质性肺病如肺纤维化，\n\n02:48.384 --> 02:51.684\n可以引起肺血管结构改变，\n\n02:51.684 --> 02:54.033\n进而影响心脏功能。\n\n02:56.684 --> 03:00.533\n那么第二个部分就是慢性缺血性缺氧。\n\n03:03.294 --> 03:04.768\n血性缺氧，\n\n03:04.768 --> 03:07.244\n缺血性肺源性心脏病。\n\n03:10.216 --> 03:10.466\n那么，\n\n03:10.466 --> 03:13.067\n它的病因包括长期吸烟，\n\n03:13.516 --> 03:14.716\n长期吸烟呢，\n\n03:14.716 --> 03:21.091\n它能够导致慢性肺源性心脏病的主要病因是烟草中的有害物质，\n\n03:21.091 --> 03:24.567\n可以引起肺部的炎症以及血管损伤。\n\n03:25.016 --> 03:26.367\n第二个是慢性。\n\n03:27.311 --> 03:28.261\n阻塞性肺病，\n\n03:28.712 --> 03:34.861\n那么它是慢性缺血缺氧性肺源性心脏病的长期常见病，\n\n03:35.412 --> 03:39.162\n长期的气流受限导致肺动脉高压。\n\n03:40.949 --> 03:43.949\n那么环境因素包括长期暴露在。\n\n03:45.341 --> 03:47.416\n污染或者有害因素，\n\n03:47.416 --> 03:49.315\n有害气体环境当中，\n\n03:49.315 --> 03:51.391\n比如说工工业粉尘，\n\n03:51.440 --> 03:54.391\n化学物质可以增加患病的风险。\n\n03:55.231 --> 03:57.856\n那么遗传因素包括患者呢，\n\n03:57.856 --> 04:02.207\n可能有遗传因素导致的肺血管结构异常，\n\n04:02.207 --> 04:05.082\n从而引发慢性肺源性心脏病。\n\n04:08.621 --> 04:11.121\n那么看一下它的病理生理特点，\n\n04:11.171 --> 04:13.070\n包括肺动脉高压，\n\n04:13.570 --> 04:17.221\n那么慢性缺氧导致肺动脉收缩，\n\n04:17.420 --> 04:19.770\n长期下来情境高压。\n\n04:21.143 --> 04:23.042\n增加右心室的负荷，\n\n04:23.493 --> 04:25.393\n那么右心室肥厚。\n\n04:25.442 --> 04:27.643\n为了克服肺动脉高压，\n\n04:27.643 --> 04:28.493\n右心室。\n\n04:29.618 --> 04:32.519\n肌肉增厚以维持血液循环，\n\n04:32.569 --> 04:35.019\n最终可能导致心力衰竭。\n\n04:35.769 --> 04:38.519\n第三个就是血液粘稠度增加，\n\n04:38.919 --> 04:42.419\n慢性缺氧可以引起红细胞增多，\n\n04:42.468 --> 04:44.218\n血液粘稠度上升，\n\n04:44.319 --> 04:46.819\n进一步加剧心脏负荷。\n\n04:49.459 --> 04:51.459\n那么它的临床表现有。\n\n04:53.087 --> 04:53.837\n呼吸困难。\n\n04:54.997 --> 04:55.247\n嗯，\n\n04:55.447 --> 04:56.347\n紫绀，\n\n04:56.648 --> 04:59.398\n心脏扩大以及下肢水肿。\n\n05:00.447 --> 05:01.247\n呼吸困难呢，\n\n05:01.247 --> 05:04.548\n就是患者常常感到活动性呼吸急促，\n\n05:04.997 --> 05:09.597\n甚至在静息状态下也可以出现呼吸困难。\n\n05:10.462 --> 05:10.712\n那么，\n\n05:10.712 --> 05:15.761\n这是肺部氧气交换功能受损所致。\n\n05:16.696 --> 05:17.096\n紫绀，\n\n05:17.196 --> 05:18.796\n由于长期缺氧，\n\n05:19.296 --> 05:23.071\n患者的皮肤和黏膜可以出现紫绀现象，\n\n05:23.071 --> 05:24.796\n即呈现蓝紫色。\n\n05:25.598 --> 05:26.373\n这个时候呢，\n\n05:26.373 --> 05:29.248\n是因为血中的氧饱和度低的表现。\n\n05:29.748 --> 05:31.699\n第三个就是心脏扩大，\n\n05:31.949 --> 05:34.648\n长期的肺部压力增高，\n\n05:34.949 --> 05:37.248\n导致右心室负荷加重。\n\n05:38.158 --> 05:40.259\n进而引起心脏结构改变，\n\n05:40.308 --> 05:42.609\n表现为心脏增大，\n\n05:43.308 --> 05:44.408\n下肢水肿。\n\n05:44.408 --> 05:46.808\n也就是说慢性缺氧。\n\n05:48.320 --> 05:52.820\n缺血性慢性肺源性心脏病伴有下肢水肿，\n\n05:52.820 --> 05:57.920\n是由于右心功能不全导致静脉回流受阻所致。\n\n05:59.033 --> 06:01.384\n那么第三个诊断与检查。\n\n06:03.234 --> 06:04.109\n诊断标准呢，\n\n06:04.109 --> 06:05.533\n就是，\n\n06:05.734 --> 06:09.183\n通过询问病史以及体格检查，\n\n06:09.283 --> 06:14.384\n评估患者是否存在慢性咳嗽、呼吸困难等症状。\n\n06:15.164 --> 06:16.664\n那么心电图检查呢，\n\n06:16.664 --> 06:18.614\n可以提示心电活动异常，\n\n06:18.664 --> 06:24.514\n有助于诊断慢性肺源性心脏病的心脏负荷增加。\n\n06:25.605 --> 06:26.054\n第三个，\n\n06:26.054 --> 06:28.255\n胸部X线或者是CT。\n\n06:29.565 --> 06:37.839\n胸部影像学检查可以发现胸部变、胸部变化以及心脏形态改变，\n\n06:37.839 --> 06:39.614\n是诊断的重要依据。\n\n06:40.626 --> 06:42.175\n第四个就是血气分析，\n\n06:42.175 --> 06:48.075\n血气分析可以评估患者的氧合状态和酸碱平衡，\n\n06:48.575 --> 06:52.425\n对诊断肺功能不全有重要意义。\n\n06:53.595 --> 06:56.445\n那么常用的检查方法包括？\n\n06:57.507 --> 06:58.608\nX线检查。\n\n07:00.144 --> 07:01.243\n那么X线呢，\n\n07:01.243 --> 07:04.343\n可以发现观察胸部结构。\n\n07:05.145 --> 07:06.446\n以及心脏的大小，\n\n07:06.895 --> 07:11.545\n是诊断慢性肺源性心脏病的初步检查方法。\n\n07:11.895 --> 07:12.895\n第二个是呢，\n\n07:12.895 --> 07:17.946\n心电图心电图能够记录心脏的电活动，\n\n07:17.946 --> 07:23.196\n帮助医生发现心律失常和心功心脏功能异常。\n\n07:24.040 --> 07:25.940\n第三个是超声心电图。\n\n07:27.039 --> 07:29.838\n超声心电图通过声波结构。\n\n07:30.789 --> 07:33.039\n检查心脏结构和功能，\n\n07:33.088 --> 07:34.239\n评估心脏。\n\n07:35.182 --> 07:37.157\n瓣膜病变和心室功能。\n\n07:37.157 --> 07:38.932\n第四个是血气分析，\n\n07:39.282 --> 07:42.582\n它可以评估肺部气体交换功能，\n\n07:42.782 --> 07:47.131\n对诊断肺源性心脏病有重要意义。\n\n07:48.065 --> 07:50.915\n那么下面看一下它的鉴别诊断。\n\n07:53.941 --> 07:54.990\n通过心电图呢，\n\n07:54.990 --> 07:57.140\n可以观察心律失常的异常，\n\n07:57.591 --> 07:59.390\n帮助区分慢性性。\n\n08:00.279 --> 08:03.829\n对肺源性心脏病以及其他心脏疾病，\n\n08:04.279 --> 08:07.730\n那么胸部X线表表现呢，\n\n08:07.730 --> 08:13.279\n可以X线可以显示胸肺部和心脏的结构变化，\n\n08:13.679 --> 08:14.730\n有助于。\n\n08:15.757 --> 08:18.458\n鉴别肺部疾病和心脏疾病。\n\n08:18.458 --> 08:20.308\n第三个就是血气分析。\n\n08:21.084 --> 08:22.385\n通过血气分析呢，\n\n08:22.385 --> 08:26.184\n可以查血液中的二氧化碳和氧气的水平，\n\n08:26.484 --> 08:27.584\n可评估。\n\n08:28.445 --> 08:31.845\n肺功能区分呼吸衰竭和心脏衰竭。\n\n08:32.893 --> 08:34.643\n下面看一下治疗方案。\n\n08:35.400 --> 08:36.474\n那么治疗方案，\n\n08:36.474 --> 08:39.049\n方案首先使用利尿剂，\n\n08:39.400 --> 08:44.599\n利尿剂可以帮助减少体内的液液体聚集，\n\n08:45.099 --> 08:46.849\n减轻心脏负荷，\n\n08:46.849 --> 08:51.250\n是治疗慢性肺肺心病的常用药物。\n\n08:52.447 --> 08:54.947\n那么对于血管扩张剂的应用，\n\n08:54.947 --> 08:58.546\n血流血管扩张剂能够降低肺动脉压力。\n\n08:59.414 --> 09:00.664\n改善血液循环，\n\n09:01.265 --> 09:04.315\n对缓解症状也有积极作用。\n\n09:04.664 --> 09:06.114\n第三个是抗凝，\n\n09:06.664 --> 09:09.840\n对于血管有血栓风险的患者，\n\n09:09.840 --> 09:14.015\n抗凝药物可以预预防这个栓塞形成。\n\n09:14.718 --> 09:18.317\n减少肺栓塞的肺肺梗塞的发生。\n\n09:20.057 --> 09:22.807\n那么非药物治疗包括氧疗，\n\n09:23.456 --> 09:27.156\n对于慢性肺源性心脏病患者，\n\n09:27.156 --> 09:29.057\n长期氧疗可以改善。\n\n09:30.101 --> 09:32.950\n这个血液氧合。\n\n09:34.190 --> 09:35.789\n减轻心脏负荷。\n\n09:36.830 --> 09:39.179\n对于第二个是肺康复训练。\n\n09:39.179 --> 09:40.205\n肺康复呢，\n\n09:40.205 --> 09:41.380\n通过这种。\n\n09:43.117 --> 09:46.317\n呼吸机的训练以及体能锻炼。\n\n09:46.567 --> 09:47.668\n对康复有。\n\n09:49.557 --> 09:52.557\n提高患者的生活质量和运动耐性。\n\n09:53.479 --> 09:55.028\n下面就是营养支持。\n\n09:56.064 --> 09:57.463\n合理的营养，\n\n09:57.814 --> 10:03.364\n营养调整和营养补充能够改善患者的整体健康状况。\n\n10:04.182 --> 10:07.632\n和增加免疫力有至关重要的作用。\n\n10:07.731 --> 10:08.182\n那么，\n\n10:08.182 --> 10:11.581\n下面我们看一下新加重期的处理。\n\n10:12.499 --> 10:12.898\n首先，\n\n10:12.948 --> 10:14.948\n对于急性加重的患者，\n\n10:14.948 --> 10:17.398\n及时的氧疗和必要的。\n\n10:18.466 --> 10:19.216\n积液功能，\n\n10:19.466 --> 10:21.267\n积液通气是关键，\n\n10:21.666 --> 10:23.867\n以改善低氧血症。\n\n10:24.661 --> 10:27.911\n就是我们讲的氧疗和呼吸支持。\n\n10:29.531 --> 10:31.531\n第二个是抗生素的应用，\n\n10:31.580 --> 10:34.931\n对于急性感染引起的急性加重，\n\n10:35.181 --> 10:38.281\n那么合理应用抗生素是控制病情，\n\n10:38.880 --> 10:41.781\n防止进一步恶化的重要措施。\n\n10:42.583 --> 10:45.833\n第三个就是利尿剂和血管扩张剂。\n\n10:46.599 --> 10:46.849\n那么，\n\n10:46.849 --> 10:55.474\n使用利尿剂和能够减轻肺水肿血管扩张器能够改善心脏负荷，\n\n10:55.474 --> 10:59.150\n是急性加重期常见的药物治疗手段。\n\n11:00.487 --> 11:03.888\n那么第第五个我们看一下预防管理。\n\n11:05.085 --> 11:07.635\n那么下面包括以下几种方式，\n\n11:07.736 --> 11:10.036\n包括他的生活方式的调整，\n\n11:10.435 --> 11:12.385\n比如患者长期吸烟的，\n\n11:12.385 --> 11:14.135\n需要戒烟和限酒。\n\n11:15.192 --> 11:15.418\n那么，\n\n11:15.418 --> 11:21.442\n戒烟和限酒是预防和管理慢性肺炎性心脏病的重要措施，\n\n11:21.843 --> 11:23.643\n可以减少肺部负担。\n\n11:25.020 --> 11:25.494\n其次呢，\n\n11:25.494 --> 11:26.669\n有合理膳食，\n\n11:26.820 --> 11:30.369\n包括均衡的摄摄入营养，\n\n11:30.669 --> 11:33.719\n减少高脂高盐高脂食物，\n\n11:33.919 --> 11:36.119\n有助于控制体重，\n\n11:36.570 --> 11:38.469\n降低心脏负荷。\n\n11:39.783 --> 11:41.484\n然后是适当的运动，\n\n11:41.984 --> 11:44.283\n包括就是稳定期的患者，\n\n11:44.283 --> 11:46.383\n建议他适度的有氧运动，\n\n11:46.734 --> 11:48.609\n比如说散步、游泳，\n\n11:48.609 --> 11:50.684\n可以增加心肺功能，\n\n11:50.984 --> 11:52.133\n改善病情。\n\n11:53.130 --> 11:53.880\n其次就是，\n\n11:54.479 --> 11:54.880\n嗯，\n\n11:55.530 --> 11:57.229\n避免空气污染，\n\n11:57.630 --> 12:01.280\n在减少雾霾烟烟雾粉尘等。\n\n12:02.543 --> 12:07.143\n空气污染环境中的暴露可以预防肺部疾病的恶化。\n\n12:07.992 --> 12:11.643\n那么第第五个就是定期体检，\n\n12:12.192 --> 12:15.543\n对于有慢性肺源性心脏病的患者，\n\n12:15.893 --> 12:20.442\n长期坚持定期的肺功能及心脏检查。\n\n12:21.495 --> 12:24.895\n能够及时发现并处理病情变化，\n\n12:25.245 --> 12:28.245\n有效管理慢性肺源性心脏病。\n\n12:28.695 --> 12:31.645\n那么对于一个长期管理策略。\n\n12:35.088 --> 12:36.138\n包括合理用药，\n\n12:36.187 --> 12:39.963\n在医生的指导下需要按时服用，\n\n12:39.963 --> 12:41.112\n控制病情，\n\n12:41.112 --> 12:42.538\n预防急性发作。\n\n12:42.937 --> 12:46.237\n那么同此外有营养的均衡，\n\n12:46.237 --> 12:49.638\n包括均衡摄入各类营养物质。\n\n12:50.366 --> 12:54.315\n避免过量摄入高盐高脂食物，\n\n12:54.416 --> 12:57.466\n有助于减轻心脏负荷。\n\n12:57.966 --> 13:01.315\n那么第三个就是定期监测肺功能。\n\n13:02.351 --> 13:02.851\n患者呢，\n\n13:02.851 --> 13:04.627\n定期监测肺功能，\n\n13:04.627 --> 13:07.851\n以监控病情变化，\n\n13:08.452 --> 13:10.851\n及时调整治疗方案。\n\n13:12.101 --> 13:12.276\n嗯，\n\n13:12.276 --> 13:12.901\n此外，\n\n13:13.052 --> 13:15.552\n戒烟限酒就是戒烟，\n\n13:15.552 --> 13:18.851\n是控制慢性肺源性心脏病的关键，\n\n13:19.252 --> 13:21.776\n同时限制酒精摄入，\n\n13:21.776 --> 13:23.351\n减少心脏负担。\n\n13:24.276 --> 13:25.502\n那么适当的运动，\n\n13:25.502 --> 13:29.627\n也就是在医生的指导下进行适度的有氧运动，\n\n13:29.877 --> 13:31.401\n比如说散步啊，\n\n13:31.401 --> 13:32.177\n游泳啊，\n\n13:32.177 --> 13:33.877\n增强心肺功能。\n\n13:35.408 --> 13:39.307\n那么下面我们看一下如何预防急性加重。\n\n13:40.361 --> 13:41.861\n预防急性加重呢，\n\n13:41.861 --> 13:47.911\n包括就是对于这个慢性肺炎性心脏病的患者呢，\n\n13:48.310 --> 13:52.661\n建议他定期接种流感和肺炎疫苗，\n\n13:53.260 --> 13:55.861\n以减少下呼吸道感染的机会，\n\n13:56.161 --> 13:59.210\n预防慢性肺心病的急性加重。\n\n13:59.963 --> 14:02.064\n对于控控制病情，\n\n14:02.914 --> 14:04.189\n就是环境因素，\n\n14:04.189 --> 14:08.114\n包括室内空气流通。\n\n14:09.330 --> 14:11.781\n避免无烟雾和有害粉尘，\n\n14:12.330 --> 14:18.231\n减少这个慢性肺源性心脏病急性加重的风险。\n\n14:19.075 --> 14:20.724\n那么此外还有这种。\n\n14:22.166 --> 14:23.091\n合理用药，\n\n14:23.091 --> 14:26.392\n定期复查以及调整治疗方案，\n\n14:26.392 --> 14:28.966\n有效控制病情急性加重。\n\n14:29.882 --> 14:33.682\n那么下面我们看一下它的怎么预防并发症，\n\n14:34.081 --> 14:38.331\n而且它的预后对于这种肺功能的状态，\n\n14:38.331 --> 14:43.981\n肺功能严重程度是影响慢性肺炎性心脏病预后的重要因素。\n\n14:44.741 --> 14:45.991\n如果肺功能越差，\n\n14:46.041 --> 14:48.640\n那么提示患者的肺功能愈后。\n\n14:50.085 --> 14:50.635\n更加。\n\n14:51.640 --> 14:51.890\n看。\n\n14:52.715 --> 14:53.614\n那么对于合并，\n\n14:53.715 --> 14:55.690\n比如说患者合并高血压，\n\n14:55.690 --> 14:56.465\n糖尿病。\n\n14:57.291 --> 14:58.690\n等会加重病情，\n\n14:58.690 --> 15:00.491\n影响患者预后，\n\n15:00.841 --> 15:05.890\n需要密切监控和管理生活方式的调整，\n\n15:06.140 --> 15:09.091\n包括戒烟、合理运动、饮食。\n\n15:10.424 --> 15:14.624\n适当的饮食等生活方式调整和改善。\n\n15:15.919 --> 15:17.718\n患者的预后有积极作用。\n\n15:17.968 --> 15:18.468\n那么，\n\n15:18.468 --> 15:19.768\n定期治疗和。\n\n15:20.669 --> 15:29.169\n随访定期的这个医疗算医疗随访有助于调整治疗方案，\n\n15:29.619 --> 15:32.718\n对于这种提高慢性肺炎性心脏病。\n\n15:33.609 --> 15:34.359\n至关重要，\n\n15:34.609 --> 15:36.559\n那么看一下下面，\n\n15:36.559 --> 15:38.609\n看一下它的常见的并发症。\n\n15:39.393 --> 15:42.044\n包括肺部感染，\n\n15:42.693 --> 15:44.343\n然后是慢性肺炎，\n\n15:44.343 --> 15:45.818\n心脏病患者呢，\n\n15:45.818 --> 15:47.294\n常免疫力下降，\n\n15:47.393 --> 15:49.643\n而易发部肺部感染，\n\n15:49.643 --> 15:50.294\n肺炎。\n\n15:51.234 --> 15:52.133\n会加重病情，\n\n15:52.633 --> 15:53.684\n那么同时呢，\n\n15:53.684 --> 15:55.083\n他有心力衰竭。\n\n15:55.942 --> 15:58.742\n包括这种长期肺部压力导致增增，\n\n15:58.992 --> 16:01.067\n导致这个心脏负荷增加，\n\n16:01.067 --> 16:01.791\n引发。\n\n16:03.010 --> 16:05.010\n心力衰竭影响心脏功能。\n\n16:05.109 --> 16:05.609\n此外，\n\n16:05.609 --> 16:06.885\n有电解质紊乱，\n\n16:06.885 --> 16:09.809\n就是因为长期饮用利尿剂啊，\n\n16:10.109 --> 16:14.434\n会导致出现钾、钠、氯等电解质的失衡，\n\n16:14.434 --> 16:16.309\n影响心脏和肌肉。\n\n16:17.387 --> 16:17.786\n功能。\n\n16:20.062 --> 16:22.461\n那么第四个就是肺动脉高压。\n\n16:23.357 --> 16:28.408\n这个肺部疾病导致这个肺血管阻力增加，\n\n16:28.408 --> 16:30.007\n进而引起这个。\n\n16:31.247 --> 16:33.747\n肺动脉高压引起加重心脏负荷，\n\n16:33.997 --> 16:36.447\n那么下面看一下它的预防措施，\n\n16:36.547 --> 16:38.098\n就包括合理用药。\n\n16:38.898 --> 16:42.799\n戒烟限酒和定期监测以及营养营养均衡。\n\n16:43.784 --> 16:43.885\n好，\n\n16:43.885 --> 16:45.684\n今天的分享到此结束，\n\n16:45.684 --> 16:46.534\n谢谢大家。\n\n","v0347cg10004d71o5tiljht42lt1v2vg",1011,800,"2026-01-26 12:33:47"," 慢性肺源性心脏病 - 症状、诊断与治疗全解析 | 专业医学视频  \n"," 慢性肺源性心脏病, 肺心病症状, 肺心病治疗, 肺心病诊断, 心脏病防治, 呼吸系统疾病, 慢性肺病, 医学教育视频  \n"," 本视频详细讲解慢性肺源性心脏病的病因、典型症状、临床诊断方法和最新治疗方案，帮助患者和医学生全面了解这一常见呼吸系统并发症。包含权威医学建议和实用防治知识，适用于医疗从业者及关注心脏健康的普通观众。","2026-05-04 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