Wednesday, August 22, 2012

Diagnosis _'s symptom of the viral myocarditis

Diagnosis _'s symptom of the viral myocarditis
On the evidence foundation that the diagnosis of the viral myocarditis must be set up in the evidence with myocarditis and the virus infects. Uncomfortable in chest and palpitation often can brief heart on, involve, cardiac dilatation, arrhythmia or in heart failure to behave for whom heart obviously damaged, ST-T changes with rhythm of the heart of malposition or conducts the obstacle and reflects the existence of the myocardium pathological change on the electrocardiogram. The evidence that the virus infects has the following points: There is generating heat, diarrhoea or influenza symptom, present heart symptom or electrocardiogram change soon after taking place. Serum virus neutralize antibody, determine positive result, because strange B Sa Ke the most common in virus, measure this group the intersection of neutralization and antibody of virus usually, get up disease fetch the intersection of blood and the intersection of sample and once early period and over 2- 4 o'clock, if antibody result price two times shows 4 times and rise or is greater than or equal to 1 once among them: 640,Can be regarded as the basis infected with this virus recently. Swallow and anus wipe away virus separate, if have auxiliary meaning while being positive, some normal people can also be positive, meaning its must neutralize antibodies, determine the result combine together while being positive. Virus RNA of detection while organizing from excrement and urine, serum or cardiac muscle with the chain reaction law of polymerase. Myocardium to live and examine: Organize doing the virus to measure from the work that is made, it is helpful for virology to check the diagnosis to myocarditis. Appendix National the intersection of myocarditis and myocardium the intersection of disease and the intersection of adult and acute viral myocarditis that thematic forum put forward diagnose that consulted the standard 1995 (1) Rush down in the upper airway infection, belly in 1- 3 weeks after the virus is infected or present the heart to behave in acute one, such as being weak seriously ' The heart arranges blood volume to reduce) First sound subside obviously, the intersection of relaxation and issues of the intersection of galloping horse and law, the intersection of pericardium and fricative, cardiac dilatation, congestive to do the best depleted or A - the intersection of Sri Lankan and syndrome,etc.. (2) 1- 3 week when after not infecting the aforesaid or with having illness coming on by an emerging various arrhythmia at the same time with (or) The electrocardiogram is unusual but the following persons who changes electrocardiogram appear before not obeying to resist the arrhythmia medicine: 1.Atrio-ventricular block, sinus room block and bunch prop up block. More than 2.2 lead, it unites section S-T to be level type or lay getting oblique to shift down, greater than or equal to 0.05mV, or a plurality of lead, unite section S-T, raise or have unusual the intersection of Q and wave unusually. 3.Source it is many, it is in pairs room fight early,independence room or juncture tachycardia, continuously or not continuously room tachycardia popping, the atrium or ventricle is fluttered, quivered. More than 4.2 relying mainly on R wave leads and unites T wave to invert, be smooth or reduce

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