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Pulmonary heart and pulmonary circulation disorders

Thoracodiaphragmatic: in acute poisoning with morphine preparations, barbiturates, nicotine, curare, muscle relaxants, botulism, poliomyelitis (paralytic stage), acute form of dermatomyositis (Wagner-Unferricht syndrome).

2. As the contractile function of the myocardium.

2.1. Compensated.

2.2. Decompensated.

Subacute pulmonary heart

1. Of primary origin.

1.1. Vascular: with repeated minor pulmonary thromboembolism (blood thromboembolism, embolism with parasitic eggs, erythrocyte membranes with sickle cell anemia), respiratory-form nodular periarteritis (Wegener's syndrome).

1.2. Bronchopulmonary: with repeated severe attacks of bronchial asthma, lung cancer of the lung.

1.3. Thoracodiaphragmatic: due to prolonged hypoventilation of the lungs of central or peripheral origin with botulism, poliomyelitis, myasthenia gravis.

2. As the contractile function of the myocardium.

2.1. Compensated.

2.2. Decompensated.

Chronic pulmonary heart

1. Of primary origin.

1.1. Vascular: with primary pulmonary hypertension, pulmonary arteritis, lung resection.

1.2. Bronchopulmonary: in obstructive processes in the bronchi (chronic bronchitis, emphysema, bronchial asthma, diffuse pneumosclerosis of various etiologies), restrictive processes in the lungs (fibrosis, granulomatosis), pulmonary polycystosis.

1.3 Thoracodiaphragmatic: in case of damage to the spine and chest with its deformation, pleurosclerosis (pleural obliteration, pleural moorings), chronic form of dermatomyositis, scleroderma, obesity (Pickwick's syndrome).

2. As the contractile function of the myocardium.

2.1. Compensated.

2.2. Decompensated.

Diagnosis Examples

Main disease: Rheumatic combined mitral defect: mitral stenosis III, mitral insufficiency P. Complications: Pulmonary hypertension. CHF PA (FC III).

It is encoded 105.2 as rheumatic stenosis and mitral valve insufficiency.

Pulmonary hypertension is predominantly a complication of a disease, and therefore it is encoded only if it is designated as the main condition requiring the greatest expenditure of medical resources, as is the case with pulmonary embolism.

Main disease: Thromboembolism of the branches of the pulmonary artery dated (date) against the background of thrombophlebitis of deep veins of the left leg. Complications: Heart attack of the upper lobe of the right lung. Acute pulmonary heart. Pulmonary hypertension.

Encode 126.0 as a pulmonary embolism with reference to an acute pulmonary heart.

Please note that in the above example, when coding, the rule comes into force: if a patient suffering from a chronic disease has an acute condition, which has become 52 the reason for his urgent hospitalization, the acute state code is selected as the “main” disease. So, if the wording “Thrombophlebitis of the deep veins of the left lower leg. Thromboembolism of Pulmonary Artery Branches ”code - 180 may be included in the statistical development, which is incorrect, since a patient who was in hospital received treatment mainly for pulmonary embolism.

At the same time, if pulmonary embolism is a postoperative complication (for example, in a patient operated on for rheumatic heart disease) that occurs no more than 4 weeks after surgery, then it can be considered as a direct consequence of the operation, and not subject to.
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Pulmonary heart and pulmonary circulation disorders

  1. 52. LUNG HEART. ETHIOLOGY, PATHOGENESIS OF ACUTE AND SUBCUTANEOUS, CHRONIC PULMONARY HEART, CLINIC, DIAGNOSTIC, TREATMENT PRINCIPLES.
    Pulmonary sero-pathological condition characterized by hypertrophy of the right ventricle caused by hypertension of the pulmonary circulation, which develops with damage to the bronchopulmonary apparatus, pulmonary vessels, chest deformity, or other diseases that impair lung function. Acute heart lay-wedge symptom complex arising from pulmonary artery thromboembolism, and with
  2. PULMONARY HEART
    Pulmonary heart is understood as a clinical syndrome caused by hypertrophy and (or) dilatation of the right ventricle resulting from hypertension in the pulmonary circulation, which in turn develops as a result of bronchial and pulmonary disease, chest deformity, or pulmonary vascular disease. The main clinical manifestations of the patient's complaints are determined by the main
  3. PULMONARY HEART
    Alfred P. Fishman (Alfred P. Fishman) Under the pulmonary heart understand the increase in the right ventricle due to impaired lung function. However, impaired lung function does not always occur due to a disease of the lungs proper: in some cases, the cause is chest deformity or inhibition of the respiratory impulse from the respiratory center (Table 191-1). In those
  4. Pulmonary heart
    PULMONARY HEART (LS) is a clinical syndrome caused by hypertrophy and / or dilatation of the right ventricle resulting from hypertension in the pulmonary circulation, which in turn develops as a result of diseases of the bronchi and lungs, chest deformity, or damage to the pulmonary vessels. Classification. B.E. Votchal (1964) proposes to classify the pulmonary heart by 4
  5. CHRONIC PULMONARY HEART
    Chronic pulmonary heart refers to hypertrophy of the right ventricle against a background of a disease that affects the function or structure of the lungs, or both at the same time, except when these pulmonary changes are the result of damage to the left heart or congenital heart defects. More commonly associated with chronic bronchitis, emphysema, bronchial asthma, pulmonary fibrosis
  6. Pulmonary heart
    Signs and symptoms of pulmonary heart • Dyspnea. • ???? When straining - loss of consciousness. • ???? Accent II tone over the pulmonary artery. • ???? The appearance of wave A on the pressure curve of the right atrium during its invasive registration. • ???? The presence of signs of left ventricular failure. 6.1.10.2. Preoperative preparation in patients with pulmonary heart • ???? Elimination of pulmonary infection
  7. Heart diseases. Coronary heart disease (CHD). Reperfusion syndrome. Hypertensive heart disease. Acute and chronic pulmonary heart.
    1. IHD is 1. productive myocarditis 2. myocardial fatty degeneration 3. right ventricular failure 4. absolute coronary circulation failure 5. relative coronary insufficiency 2. Forms of acute coronary heart disease 1. myocardial infarction 2. cardiomyopathy 3. angina 4. exudative myocarditis 5 sudden coronary death 3. With angina pectoris in cardiomyocytes
  8. Pulmonary (right ventricular) hypertensive heart disease
    (pulmonary heart, cor pulmonale) can be acute and chronic. An acute pulmonary heart develops with massive thromboembolism into the pulmonary artery system and is manifested by acute dilatation of the right ventricle (and then the right atrium) and acute right ventricular failure. Chronic pulmonary heart is distinguished by working concentric hypertrophy of the right ventricle (reaching thickness
  9. 1.4. CHRONIC PULMONARY HEART (HLC)
    The treatment of patients with HFS should be comprehensive and aimed at reducing pressure in the pulmonary artery (LA), improving bronchial patency and alveolar ventilation, eliminating pulmonary and heart failure, which can be achieved with adequate therapy for the underlying disease that led to the onset of HFS. 1. Bronchodilators - selective short-acting beta2-adrenostimulants
  10. HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY HEART
    HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY
  11. Indirect heart massage combined with artificial respiration (cardiopulmonary resuscitation)
    This complex procedure is used in animals with circulatory disorders and respiratory arrest (with sun and heat stroke, anaphylactic shock, electric shock, carbon monoxide and exhaust poisoning, with a diabetic crisis, acute heart failure, and other cases where cardiac arrest may occur. B the basis of artificial respiration
  12. Primary circulatory arrest (cardiopulmonary arrest)
    The heart may suddenly stop supplying blood due to arrhythmias or loss of pumping function due to a drop in preload, excessive afterload, or a decrease in contractility. A healthy heart compensates for wide-ranging changes in the frequency of contractions through the Starling mechanism. Thus, normal cardiac output is supported by compensatory expansion
  13. CHRONICAL BRONCHITIS. CHRONIC PULMONARY HEART.
    In recent years, due to the deteriorating environmental situation, the prevalence of smoking, and a change in the reactivity of the human body, there has been a significant increase in the incidence of chronic non-specific lung diseases (COPD). The term KNZL was adopted in 1958 in London at a symposium convened by the pharmaceutical group Ciba. He combined such diffuse diseases
  14. Pulmonary hypertension
    580. REDUCE HYPERTENSION OF A SMALL CIRCULATION OF BLOOD CIRCULATION 1. HEPARIN 2. EUFILLIN 3. NITROGLYCERIN 4. PREDISOLON 5. NORADRENALIN 1) true only 1,2,4 2) true only 2,3 4) true only 4 4) true only 3 5) all 121 121 are true. FOR PULMONARY HYPERTENSION OF THE VENOUS TYPE IS NOT CHARACTERISTIC 1) pulmonary capillary pressure of 10 mm RT. Art. 2) cough, hemoptysis 3)
  15. SESSION 2 Terminal state: stages, clinical diagnostics, criteria for assessing the severity of the patient's condition. Sudden cardiac arrest. Cardiopulmonary resuscitation techniques. Electrophysiological basis. ECG and ECG recording technique in 12 leads.
    Purpose: To teach students the diagnosis of terminal conditions, methods of cardiopulmonary resuscitation. To acquaint with a technique of registration of an electrocardiogram in 12 assignments. Test questions 1. What is meant by the term “resuscitation?” Signs of clinical death. 2. What is called a terminal state? Description of the main species. 3. Methods of mechanical ventilation. 4. What is understood
  16. PRIMARY PULMONARY HYPERTENSION
    John Ross, Jr. Primary (or idiopathic) pulmonary hypertension is an infrequent disease, the diagnosis of which is based on the exclusion of other known and more common causes of increased pressure in the pulmonary circulation. In most cases, primary pulmonary hypertension is diagnosed in women aged 20-40 years, which, however, does not exclude
  17. Pulmonary embolism
    Pulmonary embolism (pulmonary embolism) is a severe complication that is often not diagnosed during life. The probability of its occurrence in certain groups of patients is very high. Predisposing factors: prolonged immobilization (especially in the elderly and senile age), heart disease, circulatory failure, shock, ARF, burns, injuries (most often a hip fracture). To contributing factors
  18. PULMONARY EMBOLISM
    Pulmonary embolism (pulmonary embolism) is a severe complication that is often not diagnosed during life. The probability of its occurrence in certain groups of patients is very high. Predisposing factors: prolonged immobilization (especially in the elderly and senile age), heart disease, circulatory failure, shock, ARF, burns, injuries (most often a hip fracture). To contributing factors
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