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BLOOD CIRCULATION INSUFFICIENCY
- a pathological condition consisting in the inability of the circulatory system to deliver to organs and tissues such an amount of blood that is necessary for their normal functioning.
Stage 0: there are no signs of circulatory failure.
Stage I: the appearance during physical exertion of small shortness of breath, tachycardia, moderate cyanosis; borders of the lungs without change, vesicular breathing with a hard tint; borders, relative cardiac dullness are moderately expanded, the liver and spleen are not enlarged.
II-A stage: a) left ventricular failure: shortness of breath while performing normal physical work, sometimes asthma attacks (more often at night), palpitations; dry cough, hemoptysis, acrocyanosis; lung boundaries within normal limits; hard breathing, dry rales, sometimes finely bubbly wet rales along axillary lines; often atrial fibrillation, extrasystole, sinus tachycardia; the liver and spleen are not enlarged; no peripheral edema;
b) right ventricular failure: shortness of breath at rest is absent, heaviness in the right hypochondrium, decreased diuresis, acrocyanosis, edema of the lower extremities; vesicular breathing; heart expanded to the right; the liver is significantly enlarged, the edge is rounded, painful, sometimes a small amount of free fluid is determined in the abdominal cavity.
II-B stage: shortness of breath at the slightest exertion, palpitations, heaviness in the right hypochondrium, decreased diuresis; peripheral edema, acrocyanosis, orthopnea, anasarca, often ascites, hydrothorax; harsh breathing, dry and wet sonorous stagnant rales; atrial fibrillation and other rhythm disturbances; the liver is enlarged, dense, more often with a pointed edge, less painful; in most cases, free fluid in the abdominal cavity
Stage III (dystrophic): edematous syndrome, hydrothorax, ascites; pneumosclerosis; atrial fibrillation (tachysystolic form)
The stage of circulatory failure should be indicated in any diagnosis associated with pathology of the cardiovascular system.
List of recommended literature: 1 Murashko V.
B, Strutinsky A. V. Electrocardiography M .: Medicine, 1987, 256 s. 2. Orlov V. N. Guide to Electrocardiography M .: Medicine, 1983, 526 s. 3. Potemkin V. Century. Endocrinology M .: Medicine, 1986. 430 p. 4. Makolkin V.I., Ovcharenko S.I. Internal diseases M .: Medicine, 1989. 447 p. 5. Yaroshevsky A.Ya. Clinical Nephrology L .: Medicine, 1971.442 p. 6. Fundamentals of Nephrology (Ed. By E. M. Tareev). M .: Medicine, 1972. 552 p. 7. Internal diseases (Ed. By A. S. Smetnev, V. G. Kukes). M .: Medicine, 1982, 495 p. 8. Violations of the rhythm and conduction of the heart (3. I. Yanushkevichus, Yu. Yu. Bredikis, A.I. Lukoshevichyute, P.V. Zabela) M: Medicine, 1984. 287 p. 9. Wayne A.M., Solovyova A.D., Kolosova O.A. Vegetovascular dystonia. M .: Medicine, 1981. 318 p. 10. Pyatak O.A., Kamensky A. G. Classification and terminological interpretation of circulatory diseases K. Zdorovya, 1984. 327 p.
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BLOOD CIRCULATION INSUFFICIENCY
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