Intimate asthma and fluid lungs - the clinical syndromes, described paroxysms of the complicated respiration owing to hit in a pulmonary tissue of a serous liquid with formation (intensifying) an edema - intersticial (at an intimate asthma) and alveolar, with foaming a transudate rich with fiber (at a fluid lungs).
Etiology, pathogenesis. The reasons of an intimate asthma and a fluid lungs in most cases are a primary acute left ventricular failure (a myocardial infarction, other acute and subacute forms of an ischemic heart disease, a hypertonic crisis and other forms of an arterial hypertensia, acute, a nephritis, an acute left ventricular failure at sick a cardiomyopathy, etc.) or acute displays of a chronic left ventricular failure (mitral or aortal defect, chronic an aneurysm of heart, other chronic forms of an ischemic heart disease and so forth) . Additional factors provoking an attack usually join the basic pathogenetic factor - to rising of hydrostatic pressure in pulmonary capillaries: a physical or emotional strain, a hypervolemia (an overhydratation, a delay of a liquid), augmentation of inflow of a blood in system of a small circle at transition in horizontal position and disturbance of the central regulation during a dream and other factors. Exaltation accompanying an attack, rise of arterial pressure, a tachycardia, the strengthened work of a respiratory and auxiliary musculation raise a load on heart and reduce efficiency of its work. The hypoxia and an acidosis are accompanied by the further deterioration of work of heart, disturbance of the central regulation, rising of permeability of an alveolar membrane and reduce efficiency of medicamental therapy.
