New York Heart Association Classification.

New York Heart Association Classification.
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纽约心脏协会分类。

DOI:
10.1001/archinte.1972.00320050160023
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发表时间:
1972
影响因子:
--
通讯作者:
J. D. Fisher
J. D. Fisher
中科院分区:
--
文献类型:
--
作者:
J. D. Fisher

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致编辑建立一种有序的诊断形成和交流方法是诸如纽约心脏协会(NYHA)心脏病分类和肾脏疾病分类(1971年8月发行的《内科医学年鉴》、《循环》和《档案》)等系统的目标之一。NYHA分级及其描述性方法(数字字母功能治疗性标题除外)获得了广泛认可,并已被许多医生用于更广泛的用途,例如:肝脏疾病;病因:酒精中毒;解剖学:肝硬化;生理学:门静脉压力升高伴静脉曲张、腹水、肝肾综合征和昏迷前期;功能分级:IV级;治疗分级:E级。肾脏分类采用了另一种方法,需要更精确的生理变化分类,在一系列编号和字母组中。虽然肾脏病学家可能会发现自己很容易就能掌握“II-C-3”患者的意义,但许多人会发现很难记住相当精确的标准,
To the Editor. —The establishment of an orderly method of diagnostic formation and communication is one aim of systems such as the New York Heart Association (NYHA) classification of heart disease, and the classification of renal diseases (August 1971 issues of the Annals of Internal Medicine, Circulation , and theArchives). The NYHA classification with its descriptive approach (except the number-letter functional-therapeutic headings) gained wide acceptance and has been adopted by many physicians for more general use, eg, liver disease; etiology: alcoholism; anatomy: cirrhosis; physiology: increased portal pressure with varices, ascites, hepatorenal syndrome and precoma; functional class: IV; therapeutic class: E. The renal classification takes an alternate approach, demanding more precise classification of physiological changes, in a series of numbered and lettered groups. Though nephrologists may find themselves easily able to grasp the significance of a "II-C-3" patient, many people will find it hard to remember the rather precise criteria for