's general knowledge of heart disease of viral myocarditis

's general knowledge of heart disease of viral myocarditis
Summary
Viral myocarditis is infringed the heart by many kinds of virus, cause inflammation oozing out and myocardium fiber changing the sex, necrosis or disease dissolved of the quality among the cooking stoves or filling the air cardiac muscle of the office, some can change with membrane inflammation in the pericardium or heart. Can cause cardiac muscle damaging, heart function obstacle, arrhythmia and symptom all over the body. Can happen at any age
Cause of disease
(1) The intersection of disease and previrus, virus B6 (1-6 type) base Sa Ke among them The most common, other like the intersection of base and virus A Sa Ke, EcHo virus, poliomyelitis and virus, influenza and pack influenza virus, the intersection of parotitis and virus, the intersection of chicken-pox and virus, simple herpes virus, belt herpes virus and hepatitis virus,etc. might cause a disease too.
(2) Condition factor. Continue, take place the bacterial infection as organism ' Especially infect the streptococcus) , generate heat, oxygen deficiency, malnutritive and accepting steroids or radiotherapy etc. when resistance is low, can bring out and have illness coming on.
Symptom
The weight of condition is with a wide gap. Light disease can have obvious subjective symptoms, only the electrocardiogram changes. The heavy-duty can present the serious disorder of rhythm of the heart, declining, heart source shock of congestive mental and physical efforts, the even specific patient dies because of this. About over 1/3 of the cases have been before having illness coming on for 1- 3 weeks or had illness coming on at the same time the respiratory tract or digestive tract virus is infected, with symptoms such as generating heat, cough, swallowing aching, all over the body uncomfortable, diarrhoea, rash,etc. at the same time, then heart symptom appears if often tells palpitation, breathes hard, chest annual and long, uncomfortable in the district before the heart or pain, tired sense,etc.. The baby refuses milk, pale, cyanosis, four limbs are cool, two symptoms of staring at etc. within three months. The one in heart failure, breathe rapid, unexpected abdominal pain, cyanosis, edema,etc.; The source shock person of heart, the irritation is uneasy. Pale complexion, skin growing dim, fainting coldly or tip cyanosis of four limbs,etc.; Very unexpected death when the sinus stops fighting or the ventricle is fine and quiver to happen; High atrio-ventricular block causes and twitches because of oxygen deficiency of brain before setting up in one's own rhythm of ventricle, gratified brain syndrome of the stupor. If the condition is delayed to chronic one. Often shown as it is in heart failure and expanding whole-heartedly that the going on is congested, can be not normal with various rhythms of the heart.
Check
Often lack corresponding physical sign on clinic.
(1) Check in the laboratory.
1.General inspection: Between the the intersection of leucocyte and the intersection of total number and 1- 2 Wan, neutral grains of on the high side cell.
2.Serum enzyme is determined: Creatine phosphokinase (CPK) , enzyme lactic dehydrogenase (LDH) And isoenzyme (MB) , millet straw transaminase (COT) It is early in the course of disease can increase. Exceed and oxidize fork enzyme (SOD) Acute one is reduced.
3.The virus is separated.
4.Determine that measures with the virus nuclear acid with antibody
(2) Check in electrocardiogram.
The acute one of electrocardiogram has changeable and variable things to click, should check the suspicious case repeatedly, in order to help and diagnose. It mainly varies to ST-T and changes, disorder of various rhythms of the heart and block.
(3) X-ray examination.
The increase of the heart with normal or at various degrees shadow, the majority, in order to increase slightly. If it is in heart failure to delay and does not heal or amalgamate repeatedly, cardiac dilatation is obvious. The latter can be seen the heart and beat and weaken, companion's lung extravasated blood, lung edema or thorax accumulate the liquid on a small quantity. When there is pericarditis, accumulate the liquid to solicit.
(4) Cardiac muscle of membrane live and examine (EMB) in the heart .
Treat
(1) Generally treat.
1.Have a rest: Acute one stays in bed after heat is returned for 3- 4 weeks, the heart shadow returns to normal, the slight activity of starting to leave the bed. . Should continue limiting the activity in convalescence. The above of half a year that the general serious disease infant needs to stay in bed.
2.Antibiotic: Although to causing the virus of myocarditis not to act on directly, the bacterial infection is the important condition factor of the viral myocarditis, so while beginning to treat, maintain that uses antibiotic (penicillin, pioneer mould plain VI) appropriately .
3.Protect the cardiac muscle.
( 1) The application against oxidant: Heavy dose of vitamin C; Vitamin E; Coenzymatic Q10.
( 2) The medicine of the cardiac muscle of nutrition: Mixture of energy. Polarise the liquid.
(2) Application of the adrenocortical hormone.
(3) It is in heart failure to control. (4) Rescue source shock of heart.
(5) It is not normal to correct the heart of serious rhythm of the heart: The correction of the arrhythmia lies in the absorption or repair of the myocardium pathological change. General slight arrhythmia such as fighting, I one degree of atrio-ventricular block,etc. early, does not need medicines to correct more, and mainly for myocarditis to treat synthetically. If the serious arrhythmia takes place like the fast arrhythmia, serious block should be corrected in time rapidly, otherwise majestic association's life.
(6) Treatment of cause of disease.
(7) Other: Root of red-rooted salvia injects the liquid 6- 8ml and adds 10% of the glucose axillary veins to instil, or every day 2- 4ml, intramuscular injection. There is blood circulation promoting silt, improve the cardiac muscle to circulate, promote the function that inflammation absorbs.
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