Forum pracy nad projektem wskrzeszenia The Forge

[yoylqnqvwb]

Asphyxia hypoxic-clinical analysis of myocardial damage


Change the lead electrocardiogram showed ST-down, T wave flat, inversion and abnormal Q wave, part of the sick child has the right atrium, right ventricular enlargement. The clinical control group. 51.9%), 810 children were divided into control group, no asphyxia 39 cases (4 laboratory values ​​were analyzed enzymes - wife of a plastic membrane and the control Ji-CK and CK-MB level was (± s) Table 2 the mild group and severe group CK and CK-MB level was (± s) of the unit: Duanzhou People's Hospital of Pediatrics, Guangdong Zhaoqing 526040-- * 6 ... A '_ _ one by one wave-T -] - ring feather fan Zhaoqing Medicine 2003 3 (total 47) 5 discussions asphyxia reported incidence of myocardial injury in 28% ~ 44% E ¨. as hypoxemia and acidosis, causing the blood re-distribution, that is choking Initially, the organ asked shunting (mterorganshunt), lung, intestine, kidney, skin, etc. vasoconstriction, reduced blood flow, thus ensuring the vital organs such as heart, brain, adrenal gland, etc. of the blood supply. such as hypoxia continued, no oxygen metabolism in the extremely acidic products increased, leading to severe metabolic acidosis,[link widoczny dla zalogowanych], depletion of glycogen stored in the body so that compensatory mechanisms for blood loss, impaired heart function, heart rate and arterial pressure decreased, reducing blood supply to vital organs, causing multiple organ failure. And on the cardiovascular system, hypoxia and acidosis because of the injury,[link widoczny dla zalogowanych], blood loss of compensatory mechanisms that can lead to inadequate coronary perfusion, myocardial edema,[link widoczny dla zalogowanych], hypoxia, and even necrosis. hypoxemia acidosis when the conduction system and mild myocardial damage; severe cardiogenic shock may occur and heart failure, to produce clinical manifestations [21. This group of heart failure incidence of asphyxia and myocardial enzyme CK inspection effort and the value of CK-MB failure were significantly higher and the severe asphyxia group, the incidence of heart failure and myocardial enzyme checks the value of CK and CK-MB also significantly higher than the mild asphyxia group,[link widoczny dla zalogowanych], indicating more severe myocardial cell damage asphyxia more serious, and in hypoxia may also occur in early myocardial injury. so we in the treatment of neonatal asphyxia,[link widoczny dla zalogowanych], in the smooth flow of the respiratory tract and breathing under the premise of an effective, should be closely observed signs of the circulatory system in children with early preventive treatment. while in shock symptoms, should be appropriate and timely corrective to the expansion agent and acid, and application of dopamine or dobutamine [31. convalescent treatment, should pay attention to the recovery of myocardial function may be given energy mixture and enhance myocardial nutrition diphosphate to improve cardiac function.