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-rw-r--r--2023/11/06/二零二三年十一月六日/index.html4
-rw-r--r--2023/11/16/Fever-of-Unknown-Origin/index.html9
-rw-r--r--2023/11/21/Adolescent-Onset-of-Acute-Heart-Failure/index.html228
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+ <p>心力衰竭是成人中一种众所周知的疾病，主要继发于高血压和冠状动脉疾病。 青少年的病因很广泛，包括心肌炎、心肌病、结构性心脏病、营养缺乏、代谢紊乱、高血压危象和心律失常等。在发达国家，先天性心脏病和心肌病是儿童心力衰竭的两大主要原因，而在发展中国家，主要原因包括感染和严重贫血。 尽管原因不同，但青少年心力衰竭的表现与成人相似。常见症状包括呼吸困难、外周水肿、端坐呼吸、咳嗽、喘息和继发于水肿的阵发性夜间呼吸困难，但也可能包括非特异性症状，如疲劳、恶心、厌食或液体潴留导致的体重增加。表现形式差异很大，包括无明显症状、充血性心力衰竭体征，极端情况下表现为心源性休克。同样，体检也可能存在很大差异。如果患者患有代偿性心力衰竭，则可以进行相对良性的检查。</p>
+<p>心力衰竭的一些不易被察觉但高度相关的检查结果包括有：心动过速、心音异常（奔马律、舒张期杂音或病理性收缩期杂音）、呼吸急促和肝肿大。胸部X光片和心电图（ECG）可能显示非特异性发现。胸片可显示心脏肥大伴肺充血。心电图结果通常是非特异性的。 这篇文章对青少年心力衰竭的罕见和常见原因进行了概述。</p>
+<ul>
+<li><a href="/papers/Approach%20to%20Idiopathic%20Anaphylaxis%20in%20Adolescents.pdf"></a></li>
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+<h2 id="其他"><a href="#其他" class="headerlink" title="其他"></a>其他</h2><p>端坐呼吸或端坐呼吸是平躺时发生的呼吸短促，导致患者不得不支撑在床上或坐在椅子上睡觉。它通常被视为心力衰竭的晚期表现，是由于液体重新分布到中央循环，导致肺毛细血管压力增加并导致呼吸困难所致。它也见于腹部肥胖或肺部疾病的情况。端坐呼吸与平呼吸相反，平呼吸是指坐或站直时呼吸急促会加重。</p>
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