The elderly shrink and use medicine and prevent _'s prevention and health care before one in the room

The elderly shrink and use medicine and prevent _'s prevention and health care before one in the room
The prevention and health care, for having prevention which organic heart disease patient shrinks before presenting one, mainly carry on the treatment of cause of disease actively, such as improving the blood supply of coronary artery insufficiently, limit the intersection of AMI and range, excise the intersection of room and the intersection of wall and tumour, improve the intersection of heart and function, correct electrolyte to be disorderly, etc. If belong to the person who causes medicinal toxicity if foreign digitalis or some resists the excessive one of arrhythmia medicine in conformity with decrement or inactive. If belong to the nervous, excited or overtired persons who cause in conformity with spirit relaxing, takes a good rest or appropriate application sedative.
Medicine for treatment (1) Treat
1.It does not have organic heart disease and not shrinking did not need to treat before one without symptom room that the room shrinks most before one. Shrinking often indicates before room one that is sent frequently that it is quiver to transfer to a room possibly in rheumatic heart disease and coronary heart disease, should treat at this moment, the following medicines are very available for selecting: The man 0.2g each time of Kui Nicaragua, 3- 4 times d; Vera handkerchief rice ( It is fought definitely that different) 40- 80mg, 3- 4 times d; The intersection of sulphur and the intersection of nitrogen and tall and erect the intersection of ketone and 60- 90mg, 3- 4 d each time, if necessary can add clothes fit the intersection of he and the intersection of thiazole and quinoline (fit his heart) at the same time 0.1g each time, 3- 4 times d; The intersection of amine and the intersection of iodine and the intersection of ketone and 0.2g, 3 times d each time, use 0.2g/d instead to maintain, can reduce to 0.2g again 2 weeks later after being valid in 3- 7 days, 5- 6 times every week, reduce to 0.1g/d again, the the most low one can use for 0.1g, 5 times every week.
2.Shrinking can't prove it is benign that the room with organic heart disease can be thought early through checking in detail in an all-round way before one while shrinking the benign room before one in the room, do not need to treat. There is organic heart disease and the person who has one of the following conditions thinks that it is early to have the potential malignant or malignant room, must treat: Persons who are greater than or equal to 5 min of the room early frequency on average; Many shape or many source early room, the intersection of room and early the intersection of companion and difference conduct should notice; Present and unite law or unite law three times two times; The room is early continuously more than 3 presents transient burst and sends speed to the room; Acute myocardium infarction, even the accidental room is early, should also treat in time.
The early medicine of therapeutic room is numerous, can select for use rationally according to the situation that pressing or otherwise of the condition and medicine may be offered. Acute myocardium infarction accompany room to be early, first-selected intravenous slow note, 50-100mg of lidocaine, continue with intravenous sidelight 1- 3mg/min keeping 24- 48h, change other medicines and take orally, if lidocaine is invalid, can add and add 5% glucose 20ml intravenous 10min to inject with American west law 50- 100mg, then instil with 1- 2mg/min; Generally speaking select for use for American west law 100- 150mg, 3- 4 times d, or general Luo's handkerchief ketone (rhythm of the heart is flat) 50- 150mg, 3- 4 times d; The difficult managing room of the stubbornness can select amine iodine ketone for use, begin 0.2g each time, 3- 4 times d, after the result from 4- 10 days, and then change into daily 0.1- 0.2g keeps; Fail to respond to any medical treatment while being above-mentioned, make a definite diagnosis of coronary heart disease already, have cardiac dilatation, heart decline the intersection of heart and the intersection of stem and history person, can select Fluorine card Nicaragua 75- 100mg each time, once 12h for use. If this medicine is invalid, can consider jointly using medicine, uniting the administration can already be worked in coordination with, improve the effective function of the medicine, can aggravate the poisonous side effect of the medicine, so, the interaction that is it unfavorable to must verify the medicine used is careful observe, should continuous the intersection of heart and cable is guarded if necessary, begin with minimum dose, is trying to find out and adjusting constantly, last result by minimum dose,can control room arrhythmia, avoid the bad reaction again.
Uniting the administration has many kinds of schemes that are suitable for consulting: The intersection of A and + B such as the intersection of Buddhist nun and the intersection of man and 0.1g, 3- 4 d each time Kui, add general Luo handkerchief the intersection of ketone and (flat rhythm of the heart) 25- 50mg, 3- 4 times d. The intersection of A and + C such as the intersection of Buddhist nun and the intersection of man and 0.1g, 3- 4 times d each time Kui, add for American west law 25- 50mg, 3- 4 times d; The intersection of A and +2 such as the intersection of Buddhist nun and the intersection of man and 0.1g Kui, 3- 4 d, leave Lip river (ammonia acyl feel at ease) on A 6.25- 12.5mg, 2 times d; 2+ B such as A takes the place of Lip river ' Ammonia acyl feel at ease) 6.25- 12.5mg, adds for American west law 25- 50mg, 3- 4 times d; + B such as amine iodine ketone + American west law; If + C asks for his Lip river + Fluorine card Nicaragua. May need 3- 4 kinds to resist the arrhythmia medicine to share too as to a few obstinate room arrhythmia, can be effective. Morganroth put forward one new therapeutic room scheme of arrhythmia recently ' Fig. 4) ,For clinical treatment's reference.
|