The elderly surge the diagnosis of syndrome and _'s treatment of the healing solution in advance

The elderly surge the diagnosis of syndrome and _'s treatment of the healing solution in advance
Diagnose that checks
Diagnose: The diagnosis that the dominance surges in advance, according to the electrocardiogram characteristic. In addition, the heart can also be regarded as and diagnosed the basis to the scalogram. Its characteristic is that the initial part of QRS ring operates and becomes a straight line slowly on each surface, sustaining can reach 0.08s, turned to erupting the normal speed simultaneously to continue running suddenly later. QRS can exceed 0.12s while surrounding running time.
Check in the laboratory: The blood is regular and normal.
Other auxiliary examination: The calm electrocardiogram has typical WPW syndrome electrocardiogram characteristics, secondly the dynamic electrocardiogram helps the arrhythmia to determine the nature, the electric picture can distinguish returning tachycardia of room room in the heart. Differential diagnosis ( Look over the content) About 5% of the patients, for reverse type returning tachycardia of room room, QRS wave is a group of spacious deformity, should pay attention to distinguishing with room tachycardia. Healing solution ( Look over the content) Defy syndrome to have no persons who take place of tachycardia in advance, needn't have special treatment. Young and middle-aged patient who there is tachycardia but without symptommed, needn't generally treat! If due to shrinking palpitation before one, can employ general naphthalene Lip river, Vera's handkerchief rice,etc., do not need to keep using medicine for a long time. There are the young and middle-aged patients of tachycardia and serious symptom, should treat actively, control tachycardia to break out (employ medicines, the temporary heart gets up to fight, the direct current replies law) ,And carry on the radio frequency on schedule and melt and treat. Old age defies a syndrome patient in advance, tachycardia take place, have his characteristic. The elderly are relatively bad when amalgamating organic heart disease or heart and storing the function more, the tolerance of tachycardia is bad, the impact on dynamics of blood flow is obvious. Old patient can have the intersection of sinus and room form the intersection of regression and the intersection of and pathological change, many kinds of medicine have adverse effect to normal the intersection of sinus and the intersection of room and function of knot, but form or have persons who fail of a function to the sinus room with pathological change, there is obvious inhibitory activity. In clinic, we find old age of drug therapy such as rice of Vera's handkerchief, general Luo's handkerchief ketone to erupt tachycardia simultaneously, take care, move rapidly stop, or the sinus is parked and fought. In addition, the old patient's liver, renal function are relatively bad, the clearance ability to the medicine is relatively weak too, apt side effect due to accumulating the medicine. So, the elderly's administration answers while treating: The attentive electricity guards and plays and carries on drug therapy. The dosage should be small. The vein slow when injecting the speed while using medicine.
1.Drug therapy
(1)Ketone of general Luo's handkerchief: To the intersection of QRS and speed at the the intersection of wave and normal room, or due to bypath fast room quiver to have good result, can work immediately after the quiet note, 2- 3h reaches the function peak after taking orally. The intravenous application dosage is 70- 140mg, are injected slowly.
(2)Amine iodine ketone: Control and prevent the most effective medicine of speed on the room, can make the fast quiver ventricle rate of room due to bypath slow down. Ago to drive in the wrong direction, conduct, answer a very obvious extension bypath employ. Quiet note 100- 150mg time, but seldom employ in the domestic all parts. Oral administration prevent as 200mg/d, some patient might take relatively heavy dose of, or from more heavily dose of to begin (200mg first, 3 times d, obey for 7- 10 days) ,Reduce by 200mg to,twice /d,keep by 100- 200mg, each d finally.
(3)Lidocaine: It is quiver to be suitable for the fast room due to the bypaths. Quiet the intersection of note and 100mg, continue with quiet to drip 1- 3mg/min.
(4)Rice of Vera's handkerchief: To before tachycardia to type returning is getting more effective very,can't but be used for by driving in the wrong direction returning the tachycardias is be harmful, ventricle rate is accelerated instead. There can be the same result to employ this medicine when the room is quiver, the last two kinds of results should be classified as the taboo.
(5)General naphthalene Lip river: Someone think general the intersection of naphthalene and Lip river copies of the intersection of evidence and the intersection of companion and normal the intersection of QRS and first-selected medicine, wave of tachycardia, digitalis of obvious excellent Yu Yang of the result. Adopt more intravenous injections while controlling and breaking out, commonly used in American-European countries, but does not generally classify it as first-selectedly our country, the quiet note should be cautious.
(6)Foreign digitalis: Foreign the intersection of digitalis and type can inhibit the intersection of room and the intersection of room and the intersection of juncture and district from conduct, might have facilitation to the intersection of bypath and speed, before so can only be used in returning tachycardia, QRS wave normal tachycardia, especially applicable such as amalgamating organic heart disease and the complete one of companion's heart function. Control, break out, can use maos of colored (blue the west), C of glucoside, 0.4mg, slow quiet note; Digoxin 0.25mg, once d, can be used for preventing tachycardia from breaking out.
2.The external direct current replies law and adapts to the card: Fast arrhythmia that the medicine fails to respond to any medical treatment; Accompany the extremely fast heart rate rapidly on the room, especially the room is quiver or attacks the companion QRS wave and increases the wide fast heart rate in the room; Fast companion of sex arrhythmia prominent the intersection of blood flow and dynamics change, hypotension or shock, acute left the intersection of heart and depleted, serious angina pectoris,etc.; The ventricle quivers.
3.Surgery, or radio frequency melt the intersection of skill and card of meeting by conduit: Tachycardia breaks out frequently, persons who fail to control of medicine; Atrium quiver or flutter, conduct fast by passway by bypass, ventricle rate extremely getting fast; Ventricle rate when drug therapy can't slow down tachycardia notably person; Heart electric physiology check, reveal room to be quiver break out, the intersection of bypass and ago to conduct, answer one shorter than 250ms passway, drug therapy is usually invalid, should also consider surgery or melt to treat.
4.The rehabilitation that the old rhythm of the heart is not normal: Because the arrhythmia can cause dynamics of blood flow unusually, and immediate cause of the sudden cardiac death is mostly arrhythmia, so the prevention rehabilitation that directs against the arrhythmia is of great significance. The obvious one of the elderly's arrhythmia symptom influences the normal life, make the life quality and able to bearing amount of sport drop, it is high to disable leading. Broad rehabilitation should be since disease happen, including rational meal, giving up smoking, drinking few, controlling weight, appropriate physical training,etc.. Reduce or remove the dangerous factor of the arrhythmia that may be caused.
(1)Should be correct, is serious about the arrhythmia. Because is even the elderly, it is not all malignant arrhythmia either that arrhythmia take place, its property of the analysis, the possible reason to take place that should be correct, and offer the correct explanation to prove, the ones that dispelled patient's psychology are tense and frightened, make patients keep the good psychology, in a sense, the clinical symptom of the arrhythmia can be lightened.
(2)Adjust the diet structure, rational meal. In conformity with less salt, low lipoprotein diet, control the weight appropriately, give up smoking and stop drinking. It is apt to suffer from the factor to reduce.
(3)Arrange the daily life and work rationally, participate in the beneficial and physically and mentally healthy activity appropriately, keep the good mood, participate in physical training appropriately, such as taking a walk, practise taijiquan, qigong, massage,etc., should improve some defence capability of the respiratory tract to the person who has chronic lung source nature heart disease before getting up or sleeping, should also pay attention to oxygen to treat for a long time, the chance that reduce to have illness coming on.
(4)Medicine or it is not the drug therapy. It is not normal as to the serious malignant rhythm of the heart, especially continuation room tachycardia or atrium quivers, must adopt and treat effectively actively, prevent the occurrence of ones that died suddenly. This kind of patient can resist the arrhythmia medicine or adopt the treatment means of non- medicine in long-term oral administration, application,etc. as radio frequency melts technology, planting into rhythm of the heart transfer to and reply the defibrillating device.
(5)Should carry on the physical examination to the elderly without arrhythmia of symptom regularly, find and prevent from treating and prevent development from causing the malignant arrhythmia early. It is not normal as to the ischemic rhythm of the heart, should focus on that it is ischemic to correct the cardiac muscle fundamentally, improve the myocardium supersession, cooperate to resist the arrhythmia medicine appropriately, and follow up a case by regular visits to the work for a long time well.
Complication
Breaking out for tachycardia above WPW syndrome 80% if duration is relatively long, can cause heart declining, hypotension, faint. Quiver, person who attacks room even heart die suddenly to erupt the room simultaneously at the same time.
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