Thursday, August 23, 2012

's general knowledge of relevant knowledge of viral myocarditis

's general knowledge of relevant knowledge of viral myocarditis
Viral myocarditis and viral myocarditis refer to the cardiac muscle or limitation inflammation caused by that many kinds of virus are infected. The morbidity obviously rises in recent years, the virus has already become main causing the cause of disease to be plain of myocarditis. Viral myocarditis sees more children and between twenty and fifty, but the old patient is not rare.
There is a period of incubation period in the virus is infected with and had illness coming on with myocarditis. Everyth virus can cause myocarditis, with respiratory tract and as more intestinal virus, it ' - in main for Ke virus Bs strange,last that all myocarditis 40% -45% , Secondly but angstrom is viral and influenza virus. This disease is traditional Chinese medicine " Palpitation " , " palpitation " , " empty work " Category.
[Clinical manifestation ]
1.The weight of clinical manifestation of the viral myocarditis is with a wide gap. The lighter can have obvious clinical symptom, can appear the intersection of heart and the intersection of function and the whole, disorder of rhythm of the heart while being getting heavy, even die suddenly. The typical patient has gastrointestinal virus of upper respiratory tract to infect the history in 1- 3 weeks before having illness coming on, appear, generate heat, swallow, ache, cough slightly and intermediately, diarrhoea and whole body uncomfortable, etc. Then appear palpitation, breathe hard, the intersection of district and feel oppressed, equal to body temperature no the intersection of heart rate and increase fast, the intersection of chest and the intersection of person who ache and symptom in front of the heart. Very similar angina pectoris that the chest aches. Appear arrhythmia, the intersection of heart and the intersection of function and the whole or getting former shock of the heart while being getting serious. Even the acute lung edema can happen.
2.The physical examination can find the heart circle expands, the sound is weakened wholeheartedly in apex of the heart department,etc., can hear and third heart sound or fourth sound, namely room or room galloping horse's law, the apex of the heart department can often hear 2 - one grade of systolic phases dry one kind of noises, properties are comparatively soft, there can be pericardium fricatives while involving the pericardium.
3.Check and other ( 1) in the laboratory The blood is like and erythrocyte sedimentation rate: Leucocyte increase slightly and intermediately, erythrocyte sedimentation rate is accelerated.
( 2) Serum enzyme: Enzyme lactic dehydrogenase (LDH) , creatine phosphokinase (CPK) , Tianmen winter amino acid transaminase (AST) Namely millet straw transaminase (GOT) Increase.
( 3) The interesting Fig. of the supersound: Can expand etc. the left ventricle.
( 4) Check in electrocardiogram: Can change ST-T, lengthening and arrhythmia of different types among low-voltage, QT.
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