How should diphtheria myocarditis treat? 's treatment

How should diphtheria myocarditis treat? 's treatment
(1)Generally treat: Paying attention to staying in bed, the diphtheria patient should lie in bed for 2- 4 weeks. The person who amalgamates myocarditis needs to absolutely lie in bed, even the slight activity can also cause the heart source to die suddenly, lie in bed for time and should prolong until more than 6 weeks. The intersection of intravenous injection and vitamin C, injection or intravenous to instil the intersection of B clan and vitamin, 3 phosphorus adenosine (ATP) under skin When with the cardiac muscle of nutrition. Strengthen the support treatment, but the fluid infusion amount should be controlled.
(2)Antitoxic application: But in and some and circulate at blood one neither free for toxin nor inoperative to entering by toxin of cell already, so advocate early sufficient application. The intravenous injection can give play to curative effect rapidly, reduce the emergence of myocarditis and and reduce the case fatality rate. Add vein into 100ml 5% glucose solution, instil 10,000 antitoxin, begin every minute 15 drops, can increase to every minute 2- 3ml gradually. Adult's consumption depends on position and range of the false membrane, generally 40,000 one 60,000 unit, do not exceed 80,000 units.
It can cause the allergic response of serum that antitoxic serum is injected, should notice. It is already early it accept enough for dosage antitoxin,should not application again.
(3)Application of antibiotic: Be able to strengthen curative effect to share with antitoxin, shorten the course of disease, make pathogens turn overcast rapidly, reduce and take the poisonous rate. The Wan 's of first-selected penicillin 400,000- 80, the injection in the skin, 2 times a day, the 5th - 10 days of course of treatment.
(4)Application of glucocorticoid: Serious myocarditis person can employ glucocorticoid, such as splashing the Buddhist nun loose dragon 20mg- 40mg/ d, divide into for 3 times and take orally. The decrement gradually, until stopping medicines after symptom takes a favorable turn.
(5)Other: Deal with to the ill. Accompanying the one in heart failures, can employ low dose of foreign digitalis preparation, but the result is often not good, and patient to easy to cause excessive to poison sensitive medicine this kind of, should give medicine while being low dose of. Resist the shock treatment actively. Correct the arrhythmia.
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