Viral myocarditis 11_ general knowledge

Viral myocarditis 11_ general knowledge
Viral myocarditis: It is myocarditis caused by virus. Ke and influenza virus main etiologies with strange, Ai Sa Ke. Pathological change accompanies myocardium cell necrosis for quality inflammation among the cardiac muscle, pathological change can be invaded and the heart gets up to fight and conduct system and pericardium. The intersection of condition and weight differ, the lighter can have symptom, can cause the heart to decline or die suddenly while being getting in weight. Have virus that is infected with symptom more in 1-4 weeks before the onset, palpitation appears, breathe hard later. Physical sign has tachycardia, pulses that are increased fast (proportional to body temperature no) ,The heart circle expands, there can be galloping horse's law, the heavy one can decline, heart source shock intentionally. It is the arrhythmia that the common electrocardiogram changes and ST-T changes. Diagnose more for doubt, examine person who infer, doubt, examine basis as follows, (1)There is acute virus to infect the history in 1-4 weeks before the onset; (2)Clinical manifestation that the heart appearing recently is given much trouble; (3)The virus of double serum neutralizes antibodies and titrates more than 4 times for one degree of increase. It needs to isolate the virus or verify while examining the sample that there is antigen of virus in the cardiac muscle from the living cardiac muscle to make a definite diagnosis of. It is distinguished with rheumatism myocarditis, bacterial infection poisoning myocarditis that this disease answers. Should stay in bed and get up gradually after returning to normal to symptom disappearing, electrocardiogram after making a definite diagnosis of myocarditis; Improve myocardium nutrition and medicine of the supersession; The condition is serious, has patient of heart source shock and atrio-ventricular block in heart failure, should use the adrenocortical hormone; Treatment that it is corresponding to offer to the arrhythmia in heart failure; Resist infection to treat at the same time.
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