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ID:1496106
大小:326.00 KB
页数:46页
时间:2017-11-12
《是指病人自觉心中悸动》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、心悸Palpitation1PalpitationDefinitionPalpitation是指病人自觉心中悸动,惊慌不安,甚则不能自主为主要表现的一种病证。心悸包括惊悸和怔忡两方面,因惊而悸者谓之惊悸,时发时止,病情较轻;若无外因而悸者,谓之怔忡,发作无定时,病情较重。《金匮要略》首提惊悸《济生方》首提怔忡2CauseofDiseaseandPathomechanismPalpitation的病位在心,其发病与脾、肾、肝、肺四脏功能失调相关。本病为本虚标实,本为气血不足,阴阳亏损;标为气滞,血瘀,痰
2、浊,水饮。Palpitation3Analysesofpathologicalconditions心虚胆怯(timidityduetoheart-deficiency)心血不足(insufficiencyofheartblood)阴虚火旺(flaringoffireduetoyin-asthenia)心阳不振(inactivationofheart-yang)水饮凌心(fluidretentioninvadingheart)心血瘀阻(stasisofheartblood)Palpitation4Ana
3、lysesofpathologicalconditionsTimidityduetoheart-deficiency心悸,善惊易恐,坐卧不安,少寐多梦,舌苔薄白或如常,脉象动数或虚弦。Insufficiencyofheartblood心悸,头晕,面色不华,倦怠乏力,舌质淡红,脉象细弱。Palpitation5AnalysesofpathologicalconditionsFlaringoffireduetoyin-asthenia心悸不宁,心烦少寐,头晕目眩,手足心热,腰酸耳鸣,舌质红,少苔或无苔,脉
4、象细数。Inactivationofheart-yang心悸不安,胸闷气短,面色苍白,形寒肢冷,舌质淡白,脉象虚弱或沉细而数。Palpitation6AnalysesofpathologicalconditionsFluidretentioninvadingheart心悸,眩晕,胸脘痞满,形寒肢冷,小便短少;或下肢浮肿,渴不欲饮,恶心吐涎,舌苔白滑,脉弦滑。Stasisofheartblood心悸不安,胸闷不舒,心痛时作,或见唇甲青紫,舌质暗或有瘀斑,脉涩或结代。Palpitation7Problem
5、sofpatientsPalpitation心输出量减少恐惧活动无耐力睡眠形态紊乱知识缺乏潜在并发症Nursinggoals8NursinginterventionsTimidityduetoheart-deficiencyPrincipleofnursing:镇惊定志,养心安神EntiretynursingLifecare:Dietarycare:Drugscare:Othernursingmethods:Palpitation9NursinginterventionsInsufficiencyof
6、heartbloodPrincipleofnursing:补血养心,益气安神EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation10NursinginterventionsFlaringoffireduetoyin-astheniaPrincipleofnursing:滋阴请火,养心安神EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethod
7、s:Palpitation11NursinginterventionsInactivationofheart-yangPrincipleofnursing:温补心阳,安神定悸EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation12NursinginterventionsFluidretentioninvadingheartPrincipleofnursing:振奋心阳,化气行水Entiretynursing
8、Lifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation13NursinginterventionsStasisofheartbloodPrincipleofnursing:活血化瘀,理气通结EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation14NursingevaluationIntroduct
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