's general knowledge of relevant knowledge of viral myocarditis

's general knowledge of relevant knowledge of viral myocarditis
Viral myocarditis
Viral myocarditis refers 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 it is Ke virus Bs strange,can't 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, and the intersection of body temperature and unbecoming 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.
[Diagnose ]
At present mainly adopt synthetically by diagnosis and except method diagnosed. Because the clinical manifestation of the viral myocarditis is varied, but diagnose with special significance and few correctly. So, after getting rid of rheumatism, hypertension, atherosclerosis and other myocarditis, combine and have illness coming on the first 1- The upper respiratory tract or intestinal virus infects the history in 3 weeks, recent cardiovascular system symptom and physical sign, laboratory inspection result (especially various, variable unusual electrocardiogram and serum antibody are titrated degree and increased etc.) ,Clinical diagnosis of a inference.
[Treat ]
Acute viral myocarditis can fully recover while being large, a few people will leave sequela or develop into chronic pathological change. Treatment means takes comprehensive measure as the core.
1. Medicine treatment of Western medicine
(1)Acute issue should be abundant rest, protect and improve the function of the heart.
(2)Improve the myocardium nutrition and supersession, promote the cardiac muscle to repair. The daily medicine is ATP, coenzyme A, cytochrome C, skin glucosided, supports one's family to ask for c etc..
(3)With serious block person, but use the adrenocortical hormone appropriately.
(4)Resist infection, can use traditional Chinese medicine and Western medicine against virus.
(5)Treat complication actively, such as the heart function is not complete, the rhythm of the heart is not normal, the heart is original shock and thrombus thromboembolism,etc..
2. Traditional Chinese medicine treatment
(1)Evil and poisonous to make a psychological attack: Palpitation breathes hard, generate heat and swallow aching, the chest can not suppress easily, it is weak to receive difference, the red tongue of tongue is white, pulse sinks thinly and unably or form taking the place of.
Manage the law: Clear away heat, detoxify, put through to hold the benefit heart in place with a net.
Square medicine: Honeysuckle, forsythia, 15 grams respectively of blue root of board, the root of large-flowered skullcap, mountain Zhi, root bark of tree peony, leaf of the bamboo, wheat winter, Radix Platycodonis are 10 grams respectively, 30 grams of plaster of stone, 12 grams respectively of Radix Paeoniae Rubra, root of red-rooted salvia, licorice root of roast meat is 6 grams.
(2)Angry overcast two is empty: The chest suppresses and aches, palpitation is uneasy, spontaneous perspiration is languid, the mouth does and lacks Tianjin, five is vexed and hot, the tongue lacks the tongue red, the weak pulse string is slight and weak.
Manage the law: It is raised overcastly that benefit is angry.
Square medicine: Crown prince join 30, 25 of Radix Astragali, Radix Asparagi, winter such as wheat, Fructus Schisandrae Chinensis, high aspiration, dogwood fruit, the intersection of acid and jujube kernel, place of birth respectively 10 grams, cassia twig, root of herbaceous peony are 6 grams respectively.
(3)Aqueous vapor ice heart: Uncomfortable in chest palpitation, shortness of breath breathe heavily suppress, difficult to lie while being flat, four limbs warm, abdominal distension limb swollen, tongue dark tongue oily, pulse sinks and counts accurately.
Manage the law: Warm male genital's favourable water, the heart of benefit of blood circulation promoting.
Square medicine: Radix Astragali, dangshen, 20 grams respectively of Indian bread, Rhizoma Chuanxiong, rhizoma alismatis, Chinese angelica, rhizome of large-headed atractylodes, Herba Leonuri, Radix Paeoniae Rubra are 10 grams respectively, 15 of son in front of the car, make 6 of Radix Aconiti Lateralis Preparata, cassia twig, it bes gingers to be 3 grams respectively.
[Prevent and recuperate ]
1. Strengthen physical training, build up health, pay attention to striking a proper balance between work and rest, avoid the tobacco and wine.
2. Prevent and cure respiratory tract and intestine actively and is infected with, avoid the invasion and attack once again of the virus.
3. Acute one should stay in bed, it takes 3-4 weeks after the body temperature is normal.
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