(1) clinical manifestations
Generally do not give rise to occasional symptoms or consciously rhythm irregular heartbeat stop flu, strengthen flu. Frequent fatigue may have heart palpitations, chest tightness, and even may have angina pectoris. Rapid pulse twice continuous beating, followed by a longer interval, and sometimes a second can not beat palpable, intermittent phenomenon more obvious. Auscultation showed arrhythmias Extrasystole first phonocardiogram enhanced second sound weakened or even disappear.
(2) physical and chemical examination
Atrial premature beats: P-wave occurred in advance of its shape and sinus P wave may differ slightly. P-R interval was 0.012 seconds or more. Period before the follow-up of a P-wave morphology normal QRS wave. After premature often see - not completely compensatory pause.
Atrioventricular junctional premature beats: early appearance of the QRS-T wave, the former no P wave, the QRS-T wave morphology and normal sinus exciting QRS-T wave is basically the same. Appears before the QRS-T wave before and after reversal of type P-wave, and the inter-PR is less than 0.11 seconds. Seen early after a full compensatory pause.
Premature ventricular contractions: early appearance of the QRS-T wave, the former no D wave. Early appearance of the QRS-T-wave morphology abnormalities, the time limit is usually more than 0.12 seconds. Premature beats can be seen after a full compensatory pause.
(3) treatment
TCM treatment
Those without the treatment of premature accidental.
Premature frequent symptoms, the correct incentives to produce Extrasystole actively treating the primary disease. Such as the lifting of tension and fatigue, improve myocardial blood supply, control disease myocarditis, anti-rheumatic treatment.
Atrial premature beats, junctional premature beats optional intentions De'an 10mg, Day service at 3 times; Verapamil 40mg, Day served 3 times; Procaine amide 0.25-0.5 grams, the Japanese clothing 4; high Symplectic 0.25 mg, 1 day served. Digoxin for heart failure with atrial persons.
Premature ventricular contractions often choose Mexiletine 0.1-0.2 grams, 3-4 times daily; Propafenone 0.1-0.15 grams, 3 times a day; acetyl furostanol iodine ketone 0.2 grams, 3 times a day, a week after a gradual reduction to 0.2 grams per day to maintain a meeting.
Digitalis poisoning caused by the premature and immediately stop and give potassium and phenytoin. .
Chinese medicine treatment
Ardisia proprietary Chinese medicines can soothe the nerves of oral pills, ginseng归脾丸, Ping fill the town of heart pills, Nanjing God Dingzhi pills, Xuefuzhuyu pills, tablets and other Danshen.
Kushen 20-30 grams per day,水煎服, l treatment for 10 days, apply to all types of premature beats. Can also be used泡水Rhaponticum 10 grams or煎服.
Dietotherapy
白木耳15-30 grams, 200 grams of lean meat, jujube 10,炖烂, table salt seasoning.
Alligator meat, sugar amount隔水炖costumes, can also research粉蒸cakes, morning for breakfast to eat, each time taking 50-100 grams.
A pig heart, appropriate condiments and cooking.
Longans meat 30 grams, 30 grams of meat philoxeroides, jujube 10, glutinous appropriate. Philoxeroides first peeled heart, dates to go nuclear, and then with longans and glutinous rice with煮粥, sugar use.
Peach kernel fried yellow, 3-6 grams per serving.
(4) Nursing
Premature lesions of non-organic, and they should patiently explain to the patients, the elimination of concerns, to avoid excessive tension. Advice to quit in-law, alcohol, coffee and other beverages. Pathological changes on the premature, and should be a heart attack care in a critical condition, the absolute bed rest and avoid all activities.
(5) prevention
Avoid mental tension and fatigue, there are regular daily life, the spirit of optimism, emotional stability, quit alcohol and stimulating food. Active treatment the original disease, the elimination of a predisposing factor, the prevention of colds and prescribed medication on time.
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