The sinus room of the morbid state forms syndrome and treats _'s treatment

The sinus room of the morbid state forms syndrome and treats _'s treatment
It is often relatively difficult to form syndrome and carry on drug therapy as to the sinus room of t he morbid state, because: Medicine curing fast arrhythmia such as foreign digitalis, the Kui 's, Procaine amide and - receptor can often have brought out the slow arrhythmia to block pharmaceutic als etc.; On the contrary, medicine curing arrhythmia slowly such as different third Epinephrine or ephedrine, etc., can often bring out the fast arrhythmia, including the fast room rhythm of the heart is not normal. Medicine curing arrhythmia slowly such as different third Epinephrine and atropine, etc., often lack and treat function for a long time. Various often have obvious side effects that can't be tolerated to resist the arrhythmia medicine. So seize the opportunity and control the dosage in drug therapy.

(1)The slow treatment aroused in interest: Mainly raise the basic heart rate, prevent A - Sri Lankan's syndrome.

Atropine: 0.3- 0.6 milligrams, once every 2- 6 hour; But intramuscular injection if necessary, 0.5-1 milligrams time; But 1- 2 milligrams of intravenous injection under the emergency, once every 1- 2 hour.

Different third Epinephrine: 10 milligrams, once every 2- 6 hour, include and use under the tongue; Under the emergency, can dissolve the vein into 250- 500 ml for 5% glucose solution to instil by 1 milligram, it instils the speed by 1- 2 micrograms divides. But when the sinus room is formed, suspended or the block of sinus room is that the medicine is led to, had better use different third Epinephrine, because it brings out room nature tachycardia or vibrant possibility of atrium.

Ephedrine: 25 milligrams, 3-4 times a day.

Niacinamide

A Function: Function mechanism may relate to following factors:

The niacinamide mainly exists in mitochondria, play and pass hydrogen function in biochemistry, namely the niacinamide can influence the production of the energy; Because sinus whom room form and conduct the intersection of electricity and active mitochondria of c ell in the system than in the myocardium job cell mitochondria obviously little and little, if in ischemic, oxygen deficiency or inflammation, mitochondria is damaged, energy happens to supply the obstacle, can influence and conduct the function. It can make the composition which breathes the chain increase, impel mitochondria damaged to produce enough energies that niacinamide is supplementary, thus enable, conduct the function and contain the activity by oneself, recover; The niacinamide has function of promoting the indraft of calcium ion.

B Usage and dosage: Niacinamide is 300- 400 milligrams, dissolve the vein into 10% of the glucose and 250 ml of solutions to instil, 1 times a day; Can also use 300- 400 milligrams, dissolve into 50% of the glucose and 60 ml of solutions, the intravenous injection slowly, 1 times a day.

Traditional Chinese medicine: It is scattered to have, improve the intersection of sinus and the intersection of room and blood supply of knot for tradition al Chinese medicine to activate pulse, strengthen the intersection of sinus and the intersection of room and self-disciplining of knot and i mprove function conducted to accelerate. Chinese medicine constructs and manages the principle dialectically as follows:

Palpitation, breathe hard, night sweat, insomnia, forgetful, thirst, mouth do and four limbs a little cold and lip of the tongue red and tongue thin and white and pulse d etailed to marry taking the place of, the card is that angry overcast two is empty. Manage, should it raises overcast benefit to be angry. And then use 9- 30 grams in winter of wheat, 9 grams of Fructus Schisandrae Chinensis. Generally activate pulse 40- 120 milligrams of scattered parenteral solution first, add the vein into 250- 500 ml for 10% glucose solution to instil; Or use 5- 10 ml, once of intravenous injection every 4- 6 hour. The condition changes into that takes orally after taking a favorable turn.

Such as having blood silt concurrently, add the blood office and chase the soup of silt, or Rhizoma Chuanxiong, safflower, Radix Paeoniae Rubra, lower fragrant, root of red-rooted salvia. Have the wet one of phlegm concurrently, add two Chen Tang, or melon Lou, tuber of pinellia, Southern Star, bamboo are eaten etc..

(2)Getting aroused in interest slow - the treatment of the tachycardia syndrome: This kind of patient causes dizzy, palpitation, uncomfortable in chest because the sex fast arrhythmia or heart rate was slowed down suddenly and the heartbeat was stopped suddenly on breaking out in the room suddenly, and even faint and break out. Stop tachycardia and faint to break out for the purpose of drug therapy.

The Kui 's

A Function: The Kui 's can slow down sodium ion and enter cells, thus inhibit the relaxation one automatically divided by very much; In addition, and to 0, therefore can lower and fight the spontaneous frequency organized the electric displacement of the th reshold in cells, thus inhibit self-disciplining, lead to the fact sinus room form excited to form to reduce. Think morbid state the intersection of sinus and room form the intersection of syndrome and patient, use sex at the the intersection of Buddhist nun and the intersection of man and therapeutic room Kui at the fast rhythm of the heart generally, can inhibit the sinus room from forming the activity or causing the high sinus room to block notably. But if dosage grasp apt, the intersection of Buddhist nun and man Kui upset the intersection of sinus and the intersection of room and self-disciplining of knot. Its mechanism may be: To conduct speed, increase and lower progressively with the intersection of Buddhist nun and the intersection of man an d density Kui normal myocardium cell, but if the medicine density of blood of the Kui 's remains all the time in treating the range (2- 6 micrograms ml) ,Can't inhibit the sinus rhythm; The intersection of Buddhist nun and man Kui have resisting the intersection of acetyl choline and fu nction indirect still, this kind go fan leave function can increase the intersection of sinus and the intersection of room a nd rate; Sinus room form disease, take with the intersection of atrium and the intersection of wall and fiber often, sinus room form blood, support insufficient to can cause the intersection of sinus and room form function, lack proper care also. Extensive the intersection of sinus and room form around fiber take and the intersection of sinus and room form ischemic, may prevent the intersection of sinus and room from have sufficient the intersection of medicine and density form, so the Kui 's forms the syndrome patient and does not avoid to the sinus room of the morbid state, when fast arrhythmia need treating to take placing, but prudent application.

B Usage and dosage: It is 25 milligrams one kilogram of weight every day, divide into for 4 times and take orally.

Second amine iodine furan ketone

A Function: Second the intersection of amine and the intersection of iodine and the intersection of furan and ket one can the intersection of sinus and room corrected to lengthen form, resume time, inhibit the intersection of sinus and the intersection of room and self-disciplining of knot. Is also comparatively common side reaction that the slow, block and sinus room of sinus room is formed and suspended on the sinus aroused in interest. But the emergence of the side reaction, closely related to dosage of second amine iodine furan ketone. If adopt more low dose ofly every day, can already achieve the goal of controlling the fast arrhythmia, the obvious symptom side reaction of slow or other serious hearts aroused in interest will not take p lace.

B Dosage and usage: 0.2 grams, 1-2 times a day; Reduce 0.1 to after being effective, spend 5 every week, stop 2 day.

To not accompanying the room patient with not normal fast rhythm of the heart, if the medicine fails to respond to any medical treatment and the serious one of symptom, should fit and press the taking artificial pacemaker. Aroused in interest and slow - the patient of the tachycardia syndrome can also press, need the artificial pacemaker according to the symptom device, and add and use resisting the arrhythmia medicine on condition that the pace maker control the ventri cle, control the fast arrhythmia.

It is in heart failure that the sinus room of the morbid state forms syndrome and amalgamates: Should try out diuretic or blood vessel and expand pharmaceuticals, can't use foreign digitalis easily at first, so as not to bring out slow arrhythmia and A - Sri Lankan's syndrome. Necessary persons who use foreign digitalis, had better use after installing the artificial pacemaker.


|