The complication treatment of the plump type myocardium disease? 's treatment
Should implement the therapeutic reason to complication about plump type myocardium disease, relevant knowledge regarding plump type myocardium disease should be treated to complication.
Myocardium disease to diminish with the intersection of cardiac muscle and plump, ventricle as the characteristic, blood full of, obstruct and the intersection of relaxation and issue comply with, drop to basic disease of morbid state with left ventricle. Whether can be divided into obstructing and not obstructing plump type myocardium disease to obstruct to flow out one according to the left ventricle.
The cause of disease of this disease is not clear, often have obvious family's history (nearly accounts for 1/3) ,Considered to be the hereditary disease of the autosome dominance. Somebody thinks, catecholamine metabolic disorder, hypertension, high strength sport,etc. can be regarded as the promotion factor of this disease. Symptom of having difficulty in breathing etc. when a lot of patients have palpitation, chest that ache, work, getting plump person who obstruct myocardium the intersection of disease and patient can appear dizzy at the rise to their feet or sport, even mind is lost etc. and behaved.
Cause of disease clear because of disease this, prevent and cure, only can implement and to complication. Can use first - receptor block pharmaceutical (such as propranolol, times of the intersection of he and happy gram,etc.) , it fight definitely differently, regret definitely, heart,etc. drug therapies quiet. It is relatively good to use the different fighting to the arrhythmia of sex on the room definitely, - receptor to block the pharmaceutical result; Decline intentionally companion, the intersection of morbid state and the intersection of sinus and room form syndrome, patient of atrio-ventricular block, should be careful to block pharmaceutical with - receptor with different to fight definitely; Diagnose to a few definite, curative effect of using medicine good severe getting plump person who obstruct myocardium the intersection of disease and patient can try out, cut or excise plump cardiac muscle in order to relieve symptom partly.
So can treat according to complication of the plump type myocardium disease, mainly include:
1,Resist the arrhythmia treatment: The prevention and cure to the arrhythmia disagrees at present. Most scholars think, to that the high-level room is early and the speed person of room can select amine iodine ketone for use, it can reduce sex and room emergence of arrhythmia at the room not merely, make difficult quiver to transfer sinus rhythm of the heart to or control their ventricle rate room of curing etc., it is not the speed of continuation room and can assist and inhibit, thus lengthen the life-span of the pace maker. Amine iodine ketone and third pyrrole amine is two kinds of very valuable resisting not normal medicine of heart rate. Amine iodine ketone is returned but improvement heart functions and movement tolerance. Usage: Change into 200-300mg day after amine iodine ketone 600mg day, the 5th - 7 days, or every week is less than 1g, if a gt among Q-T; 0.5ms is inactive. Amine iodine ketone can block pharmaceuticals to share with the receptor.
2,Resist the treatment in heart failure: Expands but the left room flows out a persons who can not obstruct obviously the heart, can use foreign digitalis and diuretic; If the left room flows out one and obstructs obviously, the left room and persons who increase of artery pressure of lung, forbid foreign digitalis and diuretic, can block pharmaceutical and receptor excitant with receptor. 5% getting plump myocardium the intersection of disease and patient develop into left room expand finally and left room plump to lighten and room wall take exercises, subside, similar to the expanding myocardium disease, this kind of patient deals with its heart failure according to the routine. As to getting plump myocardium the intersection of lung and extravasated blood, the intersection of lung and hydropic prevention, the intersection of Vera and the intersection of handkerchief and rice at being clinical and shut the intersection of heart and comfortable curative effect, superior to the intersection of and receptor, block pharmaceutical, patient of disease; Treatment, lung of extravasated blood include lightening preload ' Diuretic of Pan and/or nitric acid esters) , control the intersection of sinus and speed and control the intersection of room and quiver the intersection of ventricle and rate, if necessary can add with shut comfortable heart while being low dose of or receptor block pharmaceuticals.
3,Resist the thromboembolism treatment: Thromboembolism can happen to 5%-10% of the plump type myocardium disease patients, plump type myocardium disease amalgamates the quiver one of room and should be paid attention to particularly. Very oral aspirin 100-150mg /day,or oh last 250mg day chlorine roll.
4,Prevent membrane inflammation in the bacterial heart: The plump type person who amalgamates membrane inflammation in the bacterial heart of myocardium disease reaches about 2%-6%, especially SAM phenomena, bicuspid valve return to the persons who flow. Even plump myocardium disease patient has no symptom, while having tooth pulled out, infecting and giving a birth, also should preventative to employ antibiotic.
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