Sinus slow traditional Chinese and western medicine aroused in interest treats _'s treatment

Sinus slow traditional Chinese and western medicine aroused in interest treats _'s treatment
Appear slight palpitation, uncomfortable in chest dizzy weak while being middle-aged and old, among them symptom any should regular to have an electro-cardiogram, check appear. The sinus slow definite diagnosis basis aroused in interest: The electricity of heart illustrationally shows sinus P wave, P wave speed lt; 60 times min, a gt among P R; 0.12 s.
A cause of disease
1.1 Age The young and the middle aged are mostly the functionality, common at plant nerve function disorderly, tired, spiritual pressure such as college entrance examination syndrome. Middle-aged and old to see more involutional syndrome, often oral receptor blocks pharmaceuticals, except that working pressure causes nervous regulation of plant disorderlily, are mostly organic, coronary heart disease, acute to lay the intersection of wall and myocardium infarction, myocarditis, senile the intersection of thyroid gland and function fail disease, morbid state sinus room marry syndrome.1.2 Other Medicine ( Foreign digitalis, different to fight definitely) ; Irritate to the part of nervus vagus ' Machinery is stimulated, carotid sinus and allergic, some inflammation, tumour,etc.) ; Jaundice; Blood potassium is too high.
2 factors influencing electric activity of heart
2.1 Automatic nervous system When sympathetic nerve, nervus vagus lose the equilibrium state, impact on sinus room knot of the nervus vagus is relatively great, nervus vagus excitability relatively high, release acetyl choline, can raise the intersection of cell membrane and penetrating in + K, promote + K outflow, make 4 the intersection of phase and automatic the intersection of depolarization and speed slow down, sinus room marry self-disciplining, reduce, the sinus aroused in interest and too slow appears.2.2 The sinus room forms arteriosclerosis Sinus room form the intersection of artery and expansion of internal diameter, can make it fight cell to be lax not to get up, the heart rate is slackened.2.3 The sinus room forms regression to change The old sinus room forms more fibrous hyperplasia of collagenous thread and elasticity, thus influence self-disciplining and conductivity of the sinus room knot, when the sinus room forms P cell self-disciplining lose can appear sinus room block and sinus nature park fighting etc..2.4 Other Endocrine, electrolyte, medicine and temperature,etc. have certain influence to form the electric activity on the sinus room.
3 clinical manifestation
Slightly: The heart rate is from 50 times min to 59 times min, are mostly the physiology, is seen to the elderly, athlete, sleep, have symptom generally, a few people occasionally feel slight dizzy, palpitation, weak uncomfortable in chest; Intermediate: Heart rate 36 times min 49 times min, mostly organic, it is the brains is insufficient in blood supply in internal organses important, angina pectoris, heart is getting more complete and not fainting,etc. in function after causing by hearting to present continuously; Severe: lt of heart rate; 35 min, appear the intersection of sinus and the intersection of room and block often, sinus park, fight and atropine test masculine gender (heart rate increase, less than 90 times min quickly) ,Should highly suspect at this moment the sinus room of the morbid state forms syndrome.
4 treatments
4.1 Western medicine Regulate the nerve function of plants: Symptom the slight one oral vitamin B1, oryzanol, stinging five plus, some quiet energy mixture, sleep good to spend sedative to be stable, and take a good rest and adjust the psychology, keep happy; Atto's category: Oral 654 2, disappearing and fastening mountain Hyoscyami alkali, belladonna slice.4.2 Traditional Chinese medicine4.2.1 Join parenteral solution of wheat Join wheat have benefit to be angry to raise overcast, reply pulse to be firm to take off, use for pulse want unique heart source nature shock a little often. The function of its heart rate of promotion relates to soap glucoside excitement gland body function of ginsengs included, especially the intersection of endocrine and function, have, strengthen myocardium contractile force also, vigorous the intersection of systemic circulation and lung circulate function of coronary circulation.4.2.2 Radix Astragali parenteral solution It is used in qi and blood two to lose that Radix Astragali benefit is angry, physique weakness, spontaneous perspiration, night sweats, the insufficient one of deficiency of vital energy, can strengthen the organism and is able to bear oxygen deficiency and should surge ability, promote the organism supersession to improve the heart functioned, expand the coronary artery and strengthen myocardium contractile force, more obvious to the tired strong heart function of normal heart poisoned, also improve the left heart function of viral myocarditis, and resist the function of arrhythmia.4.2.3 Other Oral the intersection of heart and the intersection of treasure and pill, the intersection of cypress and son nourish heart pill, nourishes blood and belongs to spleen pill, or construct traditional Chinese medicine decoction managed dialectically.4.3 The cause of disease and treatment having illness coming on originally Can consider using different third kidney to faint to anchor and fight and present to the prominent over slow companion sinus, or find a room for the artificial pace maker.
5 curative effect is appraised
Cure: Above 60 times min of heart rate, symptom disappears; Take a favorable turn: Above 50 times min of heart rate, subjective symptoms takes a favorable turn; Invalid: The heart rate has not been changed, symptom has not been relieved. To the young patient, generally adopt and regulate the plant nerve function treatment, the cure rate is high; Cooperate with traditional Chinese medicine to join Radix Astragali every 20 ml of wheat 30 ml with the brine or candy 250 ml besides regulating the nerve function of plants in middle age, once of intravenous bit d, uses 10 d 14 d together, the cure rate is high, it is obvious to take a favorable turn; Cooperate, expand coronary artery to old age, improve myocardium the intersection of blood supply and treatment, careful with need receptor block pharmaceuticals, and measure the dynamic electrocardiogram 24 h to regard as one of the regular inspection means, the detection rate that in order to improve coronary heart disease, the morbid state sinus room formed syndrome.
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