The sinus room of the morbid state forms hospital treatment procedure _ general knowledge of syndrome

The sinus room of the morbid state forms hospital treatment procedure _ general knowledge of syndrome
(1) Applicable target: Diagnose as morbid state sinus room marry syndrome (ICD10: I49.501)
(2) Diagnose the basis:
According to " the clinical technological operation regulation - the intersection of heart and electric physiology and give, fight fascicle " (Chinese Medical Association write, People's Medical Officer Press, 1st of January of 2009) When treating the guide both at home and abroad
1.Including a series of rhythm of the heart is not normal: The sinus slow, sinus aroused in interest stops fighting, blocking, slow fast syndrome of sinus room.
2.The electric chart of heart is now:
( 1) The serious sinus has been aroused in interest and slow ( lt of heart rate; 50 times fen) ;
( 2) The sinus stops fighting and/or the sinus room is blocked;
( 3) Slow fast syndrome: Paroxysmal tachycardia ( The intersection of sex and tachycardia on the room, atrium flutter and atrium quiver) Sum aroused in interest and too slow appears alternatively;
( 4) The chronic atrium can't be transferred to quiver after replying law by cable to sinus rhythm of the heart;
( 5) Fighting the rhythm in lasting slow room room juncture district ease, some patients can amalgamate retarding and bunch of room room to prop up and block
(3) The choice of the healing solution:
According to " the clinical technological operation regulation - the intersection of heart and electric physiology and give, fight fascicle " (Chinese Medical Association write, People's Medical Officer Press, 1st of January of 2009) When treating the guide both at home and abroad
1. The temporary pace maker is planted into the skill;
2. The permanent pacemaker is planted into the skill;
I adaptation card
( 1) The sinus room of the morbid state forms syndrome and is shown as symptom is aroused in interest and too slow; Or the medicine that must use some types and dosage is treated, and these medicines can cause or aggravate the slow and person who produces symptom aroused in interest;
( 2)
IIa adaptation card
( 1) Form the function low in the sinus room where the spontaneous or medicine brings out, lt of heart rate; 40 times /divide,is it aroused in interest by slow symptom to although have, be verified until what has been happened is aroused in interest and getting slow and more relevant too;
( 2) To faint unidentified reason, amalgamate sinus room to check, find, have sinus by electric physiology room marry function to be the whole.
IIb adaptation card
( 3) The heart rate is less than for 40 times divide for a long time under the sober state, but symptom is slight.
3. Generally treat;
4. Request for agreement to patient and relative.
(4) Clinical the intersection of route and standard in hospital day as 5-7 day
(5) Enter the standard of the route:
1.The first diagnosis must accord with the sinus room of the morbid state and form the code of syndrome;
2. Except medicine, it is electrolytic for disorder,etc. it is reversible for factor influence;
3.Except heart is acute active for pathological change,such as myocarditis, cardiac muscles acute ischemic;
4.Except full-length without being amalgamated disease it is acute infective;
5.When the patient has other disease diagnosis at the same time, but when do not need special-purpose processing not to influence the procedure of clinical route of first diagnosis to implement either during this time in hospital, can enter the route.
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