是指病人自觉心中悸动.ppt

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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，痰浊，水饮。Palpitation

2、3Analysesofpathologicalconditions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)Palpitation4AnalysesofpathologicalconditionsTim

3、idityduetoheart-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，脉象细数。Inactivationofheart-yang心悸不安，胸闷气短，面色苍白，形寒肢冷，

4、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。Palpitation7ProblemsofpatientsPalpitation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Nursinggoals8N

5、ursinginterventionsTimidityduetoheart-deficiencyPrincipleofnursing：镇惊定志，养心安神EntiretynursingLifecare:Dietarycare:Drugscare:Othernursingmethods:Palpitation9NursinginterventionsInsufficiencyofheartbloodPrincipleofnursing：补血养心，益气安神EntiretynursingLifecare:Dietcare:Drugscare

6、:Othernursingmethods:Palpitation10NursinginterventionsFlaringoffireduetoyin-astheniaPrincipleofnursing：滋阴请火，养心安神EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation11NursinginterventionsInactivationofheart-yangPrincipleofnursing：温补心阳，安神定悸Entiretyn

7、ursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation12NursinginterventionsFluidretentioninvadingheartPrincipleofnursing：振奋心阳，化气行水EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation13NursinginterventionsStasisofheartbloodPrincipleofnu

8、rsing：活血化瘀，理气通结EntiretynursingLifecare:Dietcare:Drugscare:Othernursingmethods:Palpitation14NursingevaluationIntroduct