充血性心力衰竭是指心脏工作能力(心肌收缩或舒张功能)下降,即心排血量绝对或相对不足,不能满足全身组织代谢的需要的病理状态。心力衰竭是儿童时期危重症之一。1临床资料:分析我院2006年~2012年收治的充血性心力衰竭患儿60例,其中男32例,女28例。年龄在1~5岁12例,6~10岁22例,11~14岁26例。病毒性心肌炎33例,风湿性心脏病27例。2临床表现:年长儿心衰的症状与成人相似,主要表现为乏力、劳累后气急、食欲减低、腹痛和咳嗽。安静时心率增快,呼吸浅表、增速,颈静脉怒张,肝增大、有压痛,肝颈反流试验阳性。病情较重者尚有端坐呼吸、肺底部可听到湿啰音,并出现浮肿,尿量明显减少。心脏听诊除原有疾病产生的心脏杂 Congestive heart failure refers to the ability of the heart to work (myocardial contraction or diastolic function) decline, that is, the absolute or relative cardiac output is insufficient, can not meet the needs of systemic tissue pathology. Heart failure is one of the critical stages of childhood. 1 Clinical data: Analysis of 60 cases of congestive heart failure admitted to our hospital from 2006 to 2012, including 32 males and 28 females. There were 12 cases aged from 1 to 5 years old, 22 cases from 6 to 10 years old and 26 cases from 11 to 14 years old. 33 cases of viral myocarditis, rheumatic heart disease in 27 cases. 2 Clinical manifestations: symptoms of heart failure in older children and adults are similar, mainly manifested as fatigue, exhaustion after exertion, loss of appetite, abdominal pain and coughing. Quiet heart rate, shallow breathing, growth, jugular vein engorgement, increased liver, tenderness, liver reflux test was positive. Severe cases, there are still sitting and breathing, the bottom of the lungs can be heard wet rales, and edema, urine output decreased significantly. Cardiac auscultation in addition to the original heart disease caused by miscellaneous