Monday, August 6, 2012

Source _'s general knowledge of relevant knowledge of heart disease of the lung

Source _'s general knowledge of relevant knowledge of heart disease of the lung
Lung source heart disease Lung source heart disease is abbreviated as lung worry, continue the lung artery high pressure of the hair because of various chest lungs and bronchus pathological changes, cause it with the loose heart disease as the characteristic of right room finally. Most lung worries are to develop from chronic bronchitis, obstructive pulmonary emphysema, it relates to bronchus asthma, pulmonary tuberculosis, bronchiectasis partly to lack. Lung source heart disease exist throughout the year, exceed will it be spring winter the intersection of verse and complicated airway infection and result in breathing depletedly and in heart failure, the case fatality rate is relatively high. This disease is traditional Chinese medicine " Dyspnea " , " phlegm card " , " edema " , " drink card " Category.[Clinical manifestation ] 1. The lung heart function compensates one: Symptom of there are coughing, coughing up phlegm, palpitation, breathing hard, cyanosis after the activity, weak mainlying etc., namely in order to send the manifestation, lung artery high pressure, physical sign of the right ventricular hypertrophy of lung illness of chest as the main fact originally. The intersection of lung and the intersection of artery and petals of district second sound hyperfunction laying, having systolic phase beat by ensiform process at this moment. 2. The lung heart function loses and compensates one: Appear breathing acidosis and breathes depleted, patient's palpitation and shortness of breath, sick vomiting, abdominal distension and receive difference, lower extremities edema, heart bunch to increase fast,etc. often. Getting heavy to can have obvious cyanosis, the intersection of person who have difficulty in breathing and symptom, present, have a liking for sleep, quiet repentant, delirium, person who twitch, go into a coma lung encephalopathy display. 3. Check and other (1) in the laboratory The blood is alike: Erythrocyte and hemoglobin increase, with infecting the total number of leucocytes of hour and classifying rising neutrally. (2)The analysis of vim and vigour: The arterial oxygen saturation drops, carbon dioxide partial pressure increases. (3)X-ray: Mainly send the chest lung illness, lung artery high pressure and loose manifestation of the right room originally. (4)The heart supersound is checked: Show right ventricular hypertrophy, the lung artery is increased widely.[Diagnose ] Main basis long-term chronic chest lung disease history and lung artery high pressure, right ventricular hypertrophy,etc. to make diagnosis.[Treat ] 1. Medicine treatment of Western medicine (1)Control the airway infection: General first-selected penicillin, every day 2 million - 4 millionu, divides intravenous bit once, and add and use Streptomycin, 0 each time. 5g, 2 times a day, intramuscular injection. The allergic one uses erythromycin me instead. 5s chlorination is mould to ask for 1, 0~2. 0g, intravenous bit. 1 times a day. Can also select to celebrate greatly and mouldly and ask for according to the condition, long that is mould and plain, the ammonia benzyl west forest, the carboxyl benzyl west forest, spore's fungus of very beginning usually waits. When there are conditions, train according to the phlegm to select medicines for use with the sensitive test of medicine, it is more rational. (2)Keep the respiratory tract unobstructed: Including being breathe heavily, reduce phlegm while being flat and oxygen intake and appropriate application breathe measures such as excitant,etc.. Breathe heavily multi-purpose aminophylline 0 while being flat. Intravenous bit after 25g dilutes. Reduce phlegm, can use, must cough flat, 16mg each time, 3 times a day. (3)It is in heart failure to control: According to the condition, diuretic and strong heart glucoside using low dose of, short course of treatment appropriately, function relaxed. Such as a pair of hydrogen chlorothiazide, 25mg each time, 3 times a day. The urine 20-40mg of speed, 3 times a day. Appropriate after adopting the above-mentioned measure, if in heart failure not corrected, Fang Ke considers the fugitive foreign digitalis strong heart glucoside fast, blue 0 such as the west. 2 O, the intravenous injection after 4mg dilutes. 2. Traditional Chinese medicine treatment (1)The cold phlegm is stopped up and held: Cough phlegm more, lose heart, wheeze, phlegm white matter rare, evil wind exchange sweat, body tired and weak, tongue light tongue pale, pulse sinks thinly. Manage the law: Warm lung reduce phlegm, lower angry to breathe heavily while being flat. Square medicine: 30 grams of Indian bread, tuber of pinellia, rhizome of large-headed atractylodes, Su Zi, dried orange peel, Chinese angelica, thick Piao, root of purple-flowered peucedanum is 10 grams respectively, cassia twig, licorice root are 6 grams respectively. (2)Phlegm heat stops up the lung: Cough phlegm to be difficult to cough up, produce yellow, the body is hot and thirsty, uncomfortable in chest and agitated, the stool is dry, the tongue yellow pulse string slips. Manage the law: Clear away heat and reduce phlegm. Square medicine: 30 grams of plaster of stone, the melon is withered m gram, Sang Bai's cover, the root of large-flowered skullcap, tuber of pinellia, radish seed, almond, bulb of fritillary are 10 grams respectively, Chinese ephedra of roast meat, licorice root are 6 grams respectively. (3)The deficiency of vital energy of the kidney of lung, phlegm are turbid to stop up holding: It if you can't cough, breathe heavily without end,it move particularly very, phlegm qualities many is rare, waist legs sour is soft, to fear is cold and weak, tongue smooth pulse white is detailed in string quality dark, tongues fat. Manage the law: It is angry to pay the warm kidney, the respectful lung reduces phlegm. Square medicine: Fu zero, prepared rhizome of rehmannia, Chinese yam, rhizoma alismatis 15 grams respectively, root bark of tree peony, dogwood fruit, Su on, radish seed, mustard seeds white, winter spend 10 grams respectively to fund, Cortex Cinnamomi, make, enclose a slice of 6 grams respectively. (4)The wet infusion of deficiency of yang of kidney of spleen, water: Cough palpitation of sentry post, it must not be flat to lie, complexion is dark and gloomy, four limbs are cold, the little urine of edema, fat quality of the tongue is light, the tongue is soft pulse slips detailedly. Manage the law: Warm male genital's favourable water, invigorate the spleen and reduce phlegm. Square medicine: Son, rhizoma alismatis, Indian bread, 12 grams respectively of root of herbaceous peony before the car, rhizome of large-headed atractylodes, umbellate pore furgus, dried orange peel, tuber of pinellia, bulb of fritillary, Radix Platycodonis every Sichuan gram, cassia twig, doing gingers, makes and encloses a slice of 6 grams respectively. [Prevent and recuperate ] 1. Strengthen and do exercises, improve the body resistance against diseases, treat bronchus and lung illness actively, prevent and cure cold. 2. It is apt to digest the food to enter birds high heat, high protein. The persons who decline intentionally should control the sodium, water to take a photograph of people. Avoid the tobacco and wine. 3. Life law, comply with the nature, pay attention to keeping hot while turning traitor in autumn and winter, prevent from and is brought out or aggravated the condition by the chill.
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