Differential diagnosis _'s symptom of the viral myocarditis

Differential diagnosis _'s symptom of the viral myocarditis
Consider nine the intersection of provinces and cities and myocarditis cooperate myocarditis which the group makes diagnose standard time, should at first other illness, including rheumatism myocarditis, poisoning myocarditis, tuberculosis pericarditis, congenital heart disease, glue yuans of the intersection of sex and disease or supersession disease or supersession cardiac muscle of disease damage ' Including vitamin B1 deficiency disease) Primary ill congenital cardiac muscle must atrio-ventricular block, plateau must dirty disease, Keshan disease, Sichuan and the neural function has been disorderly, the electrocardiogram that electrolytic disorder and medicine,etc. cause changes. Describe the clinical characteristics of four kinds of following diseases especially now, as a means of distinguishing: (1) The elasticity fibrous hyperplasia disease similarity of membrane is cardiac dilatation in the primary heart, it is in heart failure to appear repeatedly, can see source shock of heart. But the little baby that a disease happen under 6 months more. Such pathological changes as membrane elasticity fiber a large amount of hyperplasia and cardiac muscle change the sex involve the whole heart in the heart. Pursue to check to reveal it is the main fact that the left room is plump in electrocardiogram and supersound aroused in interest. Clinical manifestation, for the depleted symptom of left heart that breaks out repeatedly, cardiac hypertrophy, the heart sound is weakened, have no noise or have slight systolic phase noises. Without medical history or symptom that virus infects, there is not laboratory of viral myocarditis that is checked and changed. (2) Poisoning myocarditis infects medicinal toxicity history seriously. Often erupt simultaneously at diseases such as serious disease and pneumonia, typhoid fever, septicaemia, diphtheria, scarlet fever,etc., often infected with symptom and taken a favorable turn to chase Xi to resume with having illness coming on originally. It can cause myocarditis, take a favorable turn or resume gradually with decrement or inactive of the medicine to use ipecacuanha alkali, antimony pharmaceutical,etc.. (3) Rheumatism nature inflammation of heart has history of repeated airway infection. The intersection of rheumatism and disease such as hyperpyrexia of activity, person who occur frequently visit big arthritis of walking etc., annular erythema and skin lay brief summary,etc.. A noise of systolic phase of bicuspid valve district and/or relaxation appears when there is valve pathological change. Check visible erythrocyte sedimentation rate to increase fast in the laboratory, C - response albumen is positive, the mucoprotein increases and resists and dissolves the courageous and upright streptococcus " O " ,Streptococcus the intersection of kinase and the intersection of result and price increase and swallow swab, train masculine gender evidence that streptococcus is infect. (4) Keshan disease smilarity disorderly appearing in heart failure or heart source nature shock for cardiac dilatation, rhythm of the heart. But the intersection of Keshan and disease have local, onset, often until a certain prevail area, have, occur frequently season (such as will it be spring winter such as the Northeast, southwest is a lot of in summer) And age thing order (such as the intersection of the Northeast and young woman, the intersection of southwest and 2-5 year old infant) . Change with ST-T at the electrocardiogram, right bunch prop up block, low-voltage person in order to meet more; Rhythm of the heart of the arrhythmia is changeable, soon changes, the heart rate is obviously increased fast or slowed down as the characteristic. X-ray examination cardiac dilatation relatively prominent, beat, weaken notably, can't contract to be normal after control in heart failure. The majority becomes chronic after acute one. Can cause cerebral embolism, twitching or hemiplegia because of enclosing the thrombus of the wall to come off in the heart sometimes.

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