Expanding _'s general knowledge of myocardium disease of knowledge

Expanding _'s general knowledge of myocardium disease of knowledge
Summary
Specially sending expansion type myocardium disease is that a reason is unidentified with cardiac dilatation and congestive syndrome as the characteristic in heart failure. Main clinical manifestation is palpitation, shortness of breath, weak, abdominal distension, cardiac dilatation, arrhythmia, systolic phase noise, hepatomegaly, edema uncomfortable in chest. Disease this can take place on age any, so as to middle-aged person being most large, men exceed women. Prognosis bad disease this, death reason getting obstinate and in heart failure mainly, serious the intersection of rhythm of the heart and not normal or thrombus thromboembolism also.
Clinical manifestation
1.Palpitation, shortness of breath, cough, the chest aches, uncomfortable in chest, suffer from abdominal pain, abdominal distension, weak, dizzy, faint, thromboembolism; 2.Normotensive or on the low side, the pulse pressure is low, the heart circle expands to both sides, rhythm of the heart is not normal, galloping horse's law, the systolic phase noise of apex of the heart department, hepatomegaly, ascites, edema.
Diagnose the basis
1.How slow the onset is, it has no symptom that the heart function compensates one, have congestive manifestation in heart failure to compensate one to lose, with shortness of breath, weak and common uncomfortable in chest; Thromboembolism symptom can take place sometimes. 2.Both sides of heart circle are expanded, can present various arrhythmia repeatedly, the heart sound is weakened, galloping horse's law of relaxation, systolic phase dries one kind of noises, the noise is strengthened when the heart declines and aggravates, the noise is weakened when the heart declines and takes a favorable turn. Can hear the rale at two lung bottom, the liver is big, the lower extremities edema, chest, ascites,etc.. 3.The electrocardiogram briefs loose and various arrhythmia,etc. on the myocardium damage, room room, minority have pathology nature Q waves. 4.X-ray examination: Hearts are generally expanded, minority rely mainly on the fact that left ventricle and atrium sinistrum increase. The heart beats and weakens, there is light or intermediate lung extravasated blood more. 5.The interesting Fig. of the supersound: The heart internal diameter increases, the thickness of ventricle wall is increased thick normally and slightly, the left ventricular wall moves the range is generally weakened, ejection fraction is reduced. 6.Must get rid of common heart disease.
Treat the principle
1.Generally treat: Have a rest, use sedative if necessary, the diet of less salt when the heart declines; 2.It is not complete to prevent and cure arrhythmia and heart function; 3.The person who has thromboembolism history does the anticoagulatory treatment; 4.There are persons who accumulates liquid of volume thorax, make the thorax and puncture and smoke the liquid; 5.The serious patient can consider the artificial openheart surgery or heart transplant; 6.To the ill, support to treat.
Principle of using medicine
1.Sensitive to the foreign digitalis medicine at the time of myocardium pathological change, employ the dosage to be relatively small, and notice toxicity reacting, or use the sex muscular strength medicine, for instance of non- strong heart glucoside sharp: Dopamine, much Palestinian phenol cube amine; 2.Must notice the electrolyte is balanced during diuretic to employ; 3.Use and inhibit medicine or electricity of the heart rate from transferring to while replying the fast arrhythmia, should watch out for the possibility that have disease, sinus syndrome at the same time; 4.Can install the permanent artificial pacemaker in amalgamating chronic complete atrio-ventricular block, disease, sinus syndrome person; 5.During employing and resisting the arrhythmia medicine, should reexamine the electrocardiogram regularly; 6.While using anticoagulant, should pay attention to bleeding and behaving, reexamine appearing, blood coagulation time, thrombinogen time regularly.
Auxiliary examination
1.To the person who has typical medical history, in order to check the limit " A " of the frame It is a main fact; 2.To diagnosing can make the limit " B " of frames according to the insufficient one Or " C " .

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