The elderly's room _'s treatment of healing solution of tachycardia

The elderly's room _'s treatment of healing solution of tachycardia
Room tachycardia mostly take place in the heart disease philtrum, can cause the serious consequence, increase the case fatality rate. Need taking and treating the measure, stop the outbreak of room tachycardia immediately. Its therapeutic principle: Once room tachycardia takes place, should stop breaking out immediately. Dispel the inducement, pay attention to low blood potassium, the use of the foreign digitalis medicine. Treat, have illness coming on originally actively, such as correct heart, decline, heart the intersection of room and wall tumour therapeutic, etc behind the stem. Prevent the recurring of room tachycardia, after stop room tachycardia, should use the medicine or non- medicine measure to prevent, the recurring of room tachycardia. Prevent and cure heart disease and die suddenly.
1.Drug therapy of room tachycardia
The method of stopping room tachycardia of the continuation choosing first is that the intravenous injection resist the arrhythmia medicine immediately, as to single shape room tachycardia or issues of normal shape room tachycardia much among the QT, generally adopt the medicine treatment, intravenous injection. Lidocaine 50- 100mg; Amine iodine ketone 150- 300mg; General Luo handkerchief the intersection of ketone and 70mg, choose one of them, can continue, instil above-mentioned medicine while being effective. Many shape room the intersection of treatment and method of tachycardia similar to single shape type, want, look for, may store getting reversible reason in carefully, for example medicine side effect and electrolyte are disorderly, especially turning back room tachycardia in the peak, happen when one is lengthened among Q-T more. The treatment can adopt different third Epinephrine, quiet note of atropine besides directing against the cause of disease, or fast artificial heart get up, fight, avoid, take kind, resist the intersection of arrhythmia and medicine, for instance amine iodine ketone. The vein offers heavy dose of magnesium sulfic acid (for 5g such as 4h) ,To low the intersection of blood and magnesium and the intersection of blood and the intersection of magnesium and normal difficult quiver the intersection of room and speed with room of managing etc. and the intersection of peak and the intersection of room and speed of turning back etc., foreign digitalis poison patient to be effective. May produce low blood potassium to use magnesium preparations to the patient not having foreign digitalis to poison, so need to mend potassium at the same time.
2.Tachycardia of the room is not the drug therapy
(1)The direct current replies law: The principle is to make to return intra-annular all cells and has been produced the indentity of the electricity of heart after the depolarization, have returned the ring and just passed out of existence. A large number of practices prove, it is to stop the room therapeutic measure with very safe and effective tachycardia that the direct current replies law, in many situations should be regarded as the first-selected measure, it is convenient and high in efficiency.
(2)The skill that the electricity of radio frequency melts: The sending speed of room that specially used mainly for treating at present, bunch supports in the returning room and waits rapidly, there is few surgery complication, and can radically treat the room speed. For erupting structural pathological change of the heart simultaneously, such as expanding myocardium disease, it is often relatively filling the air pathological change that the origin of tachycardia is clicked, it is more difficult for the radio frequency to melt, as to room tachycardia after myocardium infarction, the radio frequency melts and treats certain result.
(3)Plant into the burying heart and reply the law defibrillating device: Can stop the outbreak of room tachycardia effectively immediately, and reduce the most effective means of the sudden cardiac death up until now, but cost an arm and a leg.
(4)Surgery: As to some stubbornness room feasible surgical treatments of tachycardia, for instance room wall tumour excises the skill, excise extended left ventricle,etc. partly.
(5)The programme-controlled heart electricity is stimulated: Stop room the intersection of tachycardia and effective swift method, main stimulating and inhibiting over the speed limit before the programme-controlled one. Generally speaking, it is not too fast to use the programme-controlled electricity amazing room tachycardia frequency, the dynamics state of the blood flow should be comparatively steady too. When breaking out repeatedly in room tachycardia, after stimulating and stopping room tachycardia with the heart electricity of the procedure, can prevent the frequent heart from replying law by cable by resisting the arrhythmia medicine suitably.
|