老人腿肿怎麼回事

老人腿肿怎麼回事 老人腿肿怎麼回事, 浏览次数:次悬赏分:解决时间:提问者:愛回149650 | 2009-7-21 22:30 | 來過 九十几岁的老太太，腿肿，头昏，一般来说是什么原因造成的,能不能用中医的治疗方式解释一下，谢谢各位帮忙。悬赏分我会追加。 最佳 可以造成腿部肿涨的原因太多了建议最好到医院检查后对症治疗: 1、心力衰竭及腿部静脉炎是造成腿部慢性(长期)肿胀的两大主因。据临床实践明，静脉炎只会造成患者—的腿肿胀，而造成充血的心力衰竭则会使得两条腿 胀起来;静脉炎会引起疼痛，心力衰竭引起的肿胀则不会痛;造成腿部肿胀都肿 的各种疾病都有各自不同的发病机制及特征。 2、心脏病、高血压、病毒感染或是心瓣膜病变等等疾病使心肌变得衰弱无力，这时心脏无法将血液顺利送入肺部，血液便开始倒流入静脉当中，然后就会汇流入位于心脏下面的器官——肝脏，使得肝脏充血而肿胀起来。如果情形未见改善，最后血液甚至会回流腿部的静脉里而形成腿部肿胀。 3、患有严重肾脏疾病的人，全身各处都会出现肿胀的现象，腿部、脸部或是手指无一幸免，之所以会发生全身性的肿胀，是因为蛋白质从尿液流失太多所致。 4、后期阶段较严重的肝病，会因两种机制而引起腿部肿胀。一种是因为肝细胞受到破坏无法制造足够的蛋白质，所造成的结果就像肾脏病变致使蛋白质流失所引起的状况一样;为了平衡血管内和血管外围组织的蛋白质含量，血液里的液体会流入组织内而造成组织肿胀。另一种就是肝脏有瘢痕(结疤)，使得从腿部流往心脏的血液无法通过肝脏，造成血液回流的现象。另外，腹腔里肿大的腺体或是肿瘤也可能会压迫到静脉，因而造成腿部的肿胀。 5、饥饿造成腹部肿胀及腿部现象是因为饮食中缺乏蛋白质，造成血液里的液体从血管中渗出、进入身体的组织中，当腹部肿胀时，就是腹腔里容纳有这类的液体，这和肾脏、肝脏发生病变时的情况相同。 6、严重的甲状腺机能不足也会引起全身性的身体浮肿，当然也包括了腿部。形成此种症状的原因和前述肾脏及肝脏发生病变时的情形一样，都是为了平衡蛋白质在血管及组织内的含量，使得液体自血管中流出，进入组织内而引起肿胀。 7、药物引起腿部肿胀:甲睾酮(Testosterone，最常用作治疗阳痿的药物);长期使用类固醇(治疗关节炎、气喘、癌症等);雌激素;口服避孕药;某些抗抑郁剂(硫酸苯乙Nardil);降血压药剂，甲基多巴(AIdomet);以及最近新发明的，用以治疗心脏血管病变的钙离子封阻剂等等。 method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of 8、心包膜受到病毒或其他感染，或是施以心脏手术之后而发生病变，变得又厚又硬，就像是为心脏穿上—套胄甲一样，这种情形会阻碍心肌的正常收缩与放松。结果造成血液无法充分流回右心室而溯流进入静脉，造成颈部静脉及腹部的肿大、最后则是造成腿部的肿胀。 9、如果脸部和腿部同时都有肿胀的现象，那可能是由于:甲状腺功能不足、某些导致全身性不适的过敏反应、心包病变而压迫到心脏、吃了经旋毛虫感染却又因烹煮不当的肉而引起的旋毛虫感染(旋毛虫病)，或是肾脏方面的疾病。 10、如果肿胀的腿部有棕色的色素沉淀现象，尤其是沉淀的位置是在脚踝周围时，则这种肿胀情形通常是慢性静脉曲张所造成的某种长期性疾病所引起的。棕色的色素沉淀是因为血液经过血管壁进入附近的组织里所形成的。 18 回答者:热心网友回答时间:我来评 | 2009-7-6 10:50 | 其他回答 共2条 给浮肿开处方 对于生理性浮肿，可以采取以下来进行防治。 1(保持乐观情绪，长期坚持适当锻炼，如散步、慢跑、健身器械锻炼等，以增强体质，提高适应能力。 2(选择食物，应以含有丰富的蛋白质、维生素及无机盐，低脂肪、低胆固醇，少糖、少盐为原则，芹菜、萝卜、菠菜、西红柿、大豆、蘑菇、大蒜、水果以及豆制品等食物可多吃一些。 3(避免久坐久站，经常活动下肢，并注意经常上抬两下肢。 4(保证良好的睡眠，起居有规律。 这是9种供老年浮肿患者选用的食疗方，你不妨也试一下，也许有效～祝你早日康复～ 1、 赤小豆、花生、大枣各100克，放少许冰糖一起煮汤食用。 2、 绿豆、薏米仁各100克，同煮汤食用。 3、 鲤鱼1条重约250克，赤小豆100克，一起煮汤服用。 4、 母鸡半只或童子鸡1只，与黄芪100克一起蒸熟，喝汤吃鸡肉。 5、 青头雄鸭1只，与冬瓜1000克一起煮汤食用。 6、 猪腰2只，杜仲10克，核桃仁50克，一起煮汤食用。 7、 鲤鱼1条重250克，冬瓜500克，加水清炖，吃鱼食瓜喝汤。 8、 冬瓜500克，赤小豆30克，加水适量，加盐少许，吃瓜喝汤。 9、 玉米须、冬瓜皮、赤小豆各适量，煎汤代茶饮，连服至浮肿消失。 回答者: 刘晓东1974 | 十八级 | 2008-2-25 19:30 引起老年人双下肢浮肿的常见疾病有心脏病、肝脏病、肾脏病和营养不良等。 method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of 化,呼吸系统疾病等, 下肢浮肿的原因很多,可见于心源性疾病,肾脏疾病引起的水肿,淋巴回流受阻,低蛋白血症,肝硬化,呼吸系统疾病等, 老年人小腿浮肿应该如何诊断, 冠心病、高血压及肺源性心脏病引起的心力衰竭，出现浮肿多先起于双侧踝部，下午较明显; 患有肝硬化，多有肝病或长期嗜酒史，也是先起于双下肢，随后出现腹水，且可逐渐发展成为全身浮肿; 患有慢性肾炎、肾盂肾炎、糖尿病性肾病等，也可出现双下肢浮肿，但早期多先出现双侧眼睑或面部浮肿，常以晨间起床时最明显，而后逐渐发展到全身浮肿。 另有一些老年人，由于患某种慢性疾病(结核、肿瘤、肠炎等)或摄入营养物质过少，可引起重度营养不良，而形成低蛋白血症，亦可出现双下肢乃至全身浮肿。 老人某脏器的衰退引起功能障碍，如心排出量减少、肾血流量下降、皮下组织松弛、皮肤蒸发水分减少、细胞缩小、细胞内液外溢等，也可引起浮肿。 老年人小腿浮肿容易与哪些症状混淆, method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of 老年人小腿浮肿的鉴别诊断:1、下肢水肿:分为生理性浮肿和病理性浮肿。下肢浮肿临床常见， 主要见于以下几种疾病性浮肿。?心性浮肿，患有各种心脏病病人， 当心功能不全时，体循环障碍，使下肢静脉回心血量减少，引起浮肿;?肝性浮肿，各种肝炎发生肝硬变后，由于肝脏合成白蛋白减少，造成低蛋白血症， 血浆渗透压降低，可引起厂肢浮肿;?肾性浮肿，急慢性，肾炎或肾病综合征病人，肾小球滤过功能降低，造成体内水钠游留，此外再加上大量的蛋白尿出，产生低蛋白血症，从而引起浮肿;?甲状腺机能低下性浮肿， 甲状腺功能低下时，病人真皮层粘多糖沉积，细胞间积聚多量透明质园、硫酸软骨素和水分，可引起下肢浮肿;?下肢深静脉病变性浮肿，下肢深静脉炎或下肢静脉瓣膜功能不全时， 由于静脉回流受阻，病人可出现下肢浮肿。 2、下肢弥漫性水肿:下肢弥漫性水肿是指水肿首先从下肢开始，呈弥漫性。 3、腿脚浮肿:体内增加太多水分排不出去时，就是浮肿。体重增加的同时，会出现眼皮浮肿、脚踝或小腿浮肿。冠心病、高血压及肺源性心脏病引起的心力衰竭，出现浮肿多先起于双侧踝部，下午较明显; 患有肝硬化，多有肝病或长期嗜酒史，也是先起于双下肢，随后出现腹水，且可逐渐发展成为全身浮肿;患有慢性肾炎、肾盂肾炎、糖尿病性肾病等，也可出现双下肢浮肿，但早期多先出现双侧眼睑或面部浮肿，常以晨间起床时最明显，而后逐渐发展到全身浮肿。 另有一些老年人，由于患某种慢性疾病(结核、肿瘤、肠炎等)或摄入营养物质过少，可引起重度营养不良，而形成低蛋白血症，亦可出现双下肢乃至全身浮肿。 老人某脏器的衰退引起功能障碍，如心排出量减少、肾血流量下降、皮下组织松弛、皮肤蒸发水分减少、细胞缩小、细胞内液外溢等，也可引起浮肿。 method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of 老年人小腿浮肿相关疾病 , 猝死型冠心病 冠心病 , 老年人原发性恶性高血压引起的恶性小动脉肾硬化 , 老年人肝硬化 肝硬化 , 老年人原发性高血压引起的良性小动脉肾硬化 , 老年人高血压 老年人高血压危象 , 慢性肾炎 老年人小腿浮肿应该如何预防, 建议往医院检查，找出病因积极治疗，切不可乱服药，小腿浮肿 在老年人比较常见，而有时检查不出什么具体病因，此时若给予 利尿药情况也未必能好转，还可能招惹其他问题。老年人由于高 龄，通常是坐多而活动少，小腿浮肿多半是生理性，夜间休息后 能好转，适当增加活动可能有益。 老年人小腿浮肿 下肢浮肿是老年人比较常见的症状。这种浮肿的出现，往往提示已患 有某种疾病，因此，应该及时去 ... 部位:下肢 就诊科室:内分泌科 老年人小腿浮肿相关疾病:猝 死型冠心病 冠心病 老年人原发性恶性高血压引起的恶性小动脉肾硬 化 老年人肝硬化 肝硬化 老年人原发性高血压引起的良性小动脉肾 method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of 硬化 ... 下肢水肿以足踝部最为多见。如果是临睡前，用手按小腿有指痕下陷，第二天则消失的水肿，多因年老气虚所致。调理时注意健脾益肾，多吃含蛋白类的食品，比如牛奶、鸡蛋、豆制品、芝麻、瘦肉等，预防低蛋白血症，防止腰酸、腹泻等脾肾两虚现象的发生。 另一种常见的下肢水肿是淤血阻滞引起的，表现为下肢皮肤粗糙、隐痛、发冷等气血不通现象，严重者可出现一侧下肢静脉闭塞。但对老年人来说，经常出现下肢肿胀现象还应注意区别肾、心、肝等主要脏器的病因，及时化验肝、肾功能及尿常规，不要耽误其他病的诊治。 老年人常见的下肢水肿除病因外，生活的调理应注意以下方面: 1.睡觉时下肢适当抬高，坐椅不可太高，减少下肢下垂的时间。衣裤不能太紧，注意保护好腰及下肢的血液循环。 2.适当的活动，促进血液循环。因为活动过多，下肢疲乏会加重水肿;不活动则血气不通，更容易水肿。 3.吃盐不可太多。太咸的食品、肥甘厚腻的食品都不利于消化。 4.注意保护肾脏，除经常检查肾功能外，一般药物不应使用，以减少肾脏负担。多吃些有利消肿的食品，如赤小豆、冬瓜、西瓜、葫芦等，不要轻易使用药物。 老人水肿一般是肺心病,肾病.建议做个心肺,超,肾功能检查,明确病因,对症治疗. method of basic operation; including CT, and MRI various contrast, and Image-guided biopsy, ultrasound, etc. (11) teaching, scientific research and training in clinical teaching, written within three years with some level of review or book reports of not less than 1. Four, to read reference books, Journal of internal medicine (medical college planning materials) and of the medical imaging (medical college planning materials); the practical science; the Harrison Science (in English), Chinese Journal of internal medicine series. Surgical surgical specialist refers to the rules complete the medical undergraduate or graduate education Foundation, accepted and adopted surgical specialist training, surgical diagnosis, treatment, prevention and follow-up of common diseases, surgical diagnosis and treatment of rare or incurable diseases, acute and critical illness in emergency and rescue have preliminary knowledge and experience. Surgical specialist training for 3 years. A surgical specialist, training goals through training, trainees to achieve surgical specialist level, with more skilled surgical skills, can guide the teaching of