general knowledge of viral myocarditis
Viral myocarditis
It is the myocardium limitation or filling the air inflammation pathological change caused by various virus. The main virus is the strange virus B of Ke Sa. Condition weight with a wide gap, the lighter can have symptom, it is can be to die suddenly or in heart failure to be getting in weight. The onset is high with summer and autumn festival, see more children and between twenty and fifty.
(1)Decline it now clinically
The typical case generally arises there can be the upper respiratory tract or gastrointestinal virus to infect the history in 1- 2 weeks before the disease, then palpitation appears, breathe hard, uncomfortable in the district before the heart, increase to wait with the heart rate with unbecoming body temperature quickly, the serious one can present cough, dyspnea, cyanosis, even the acute lung edema.
Physical examination can circle expand intentionally, first sound, department of apex of the heart, subside, present the third heart sound or fourth sound, the heavy one can present galloping horse's law or pericardium fricative.
(2)Main type
Light: After the upper respiratory tract or intestines are returned and infected, shortness of breath uncomfortable in chest at various degrees appears in about one week, palpitation,etc..
Heavy-duty: Get up disease to be worried and sudden, appear in heart failure, shock or die suddenly comparatively fast.
(3)The physics and chemistry are checked
Leucocyte count, can rise, acute issues of erythrocyte sedimentation rate can accelerate, a few the intersection of patient and the intersection of serum and transaminase, creatine phosphokinase increase.
Virology is checked: From swallowing and isolating the virus in the test paper or excrement and urine, the peculiar antibody increases in serum.
X-ray examination: The heart shadow is normal or increases, obviously expands while amalgamating pericarditis, the one in heart failure can be seen lung blood stasis and lung edema.
Electrocardiogram: Have the characteristic of changeable, sudden change, often have extensive unusual ST-T, it is most common to fight rhythm of the heart of the malposition early with the room, there can be atrio-ventricular block, low-voltage, Q-T to lengthen etc..
(4)Treat
Western medicine treatment
The treatment that the virus infects: Propose inducing pharmaceuticals with interferon or interferon in recent years, the experiment research of some Chinese herbal medicines such as forsythia, big green leaf, tiger's cane,etc. shows that infects the virus effectively.
Promote the myocardium supersession medicine
Vitamin C (2- 4 grams) Add 40 ml of quiet note of glucose, 1-2 times a day. Coenzyme A (50- 100 units) , ATP (20- 40 grams) ,Cytochrome C (15- 30mg) Use separately or unite application. Polarise the liquid (glucose - insulin - chlorine potassium liquid) It is dripped that quiet, 1 times a day, a course of treatment in 10- 15 days.
Chinese medicine treatment
Very oral son, cypress of Chinese medicine, nourish heart pill, activate pulse, stick up scattered coming loose by five Quan by silver. Can also use 30 grams respectively of Radix Astragali, root of red-rooted salvia, blue root of the board is 20 grams, white sandalwood, rhizome of cyrtomium are 10 grams respectively, water is fried for clothes, 2 times of Japan.
Acupuncture and moxibustion: The intersection of heart and Yu, shut the valley, song pool, imprison etc. outside fetch the intersection of cave and imprison, supernatural door inside, have a strong smell, select 3- 5 caves each time, 1 times a day.
(5)Nursing
Acute one of viral myocarditis should stay in bed after the body temperature is normal for 3- 4 weeks, move the muscles of four limbs appropriately at the same time, so as to avoid intravenous thrombus or amyotrophy. Respiratory tracts such as cold,etc. and intestine are infected with, avoid the invasion and attack once again of the virus to prevent catching a cold actively. Observe the condition change closely. Such as generating heat, swallowing aching, being uncomfortable in chest, having palpitation, breathing hard, weak etc., is improving, jumped over quickly, seriously arrhythmically the heart, at the time of dropping or sign not complete of heart function of blood pressure, should seek medical advice as soon as possible. Offer high protein, high heat, high vitamin diet, in order to promote the recovery of myocardium cells.
(6)Prevent
Emergence and organism resistance of the viral myocarditis reduce, immune ability reduces very great relation, such as overtired, malnutritive, a large amount of drinking, gestation,etc.. So, strengthen physical training, build up health, pay attention to striking a proper balance between work and rest, avoid getting drunk, strengthen the work of pregnant women's health care, it is essential for preventing the emergence of a disease. A few virus is infected with such as measles, poliomyelitis,etc. and can achieve the goal of preventing through immunization campaign.
|
0 comments:
Post a Comment