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Old myocardial infarction complicated by multiple brain control damage report of 2 cases


Interference with the cardiovascular complications of non-involvement of the two organs, the central insufficiency, cardiac and pulmonary Ca were often dyed and upper gastrointestinal bleeding, chronic renal insufficiency, arterial embolus and cerebral side into the】 cases Tong . Tip of recurrent myocardial infarction, especially among older workers often easy】 Enterprise Medical Journal 996 9 No. 3 with multiple organ involvement. Functional reserve of vital organs in elderly patients with increased competition on disc so the decline. When the initial issuance of myocardial infarction Lan heart was not the extent of damage. Recurrence of myocardial infarction increased level of the heart by the whipped area, so more and more acute myocardial infarction heart failure are vomiting, eating less. Complicated by heart failure when most people limit the amount of liquid. Easily lead to lack of circulating blood volume, blood concentration increased inadequate tissue perfusion. Due to hypovolemia. Blood flow re-boat cloth, renal vasoconstriction leading to renal hypoperfusion, combined with the elderly often accompanied by renal arteriosclerosis that may cause renal function Wo messy, there renal insufficiency. Li got the idea of momentum based on insufficiency sclerosis. Blood flow is slow. Increased blood viscosity. Easily lead to thrombosis. Elderly debilitating, immune dysfunction, impaired host defense function to hide, no barrier when combined with heart function. Pulmonary blood race,[link widoczny dla zalogowanych], long-term bed rest easily after pulmonary infection, stress, reduced ability. The island of stress ulcer. Lead to upper gastrointestinal bleeding. In short the various organs of the body's interconnected,[link widoczny dla zalogowanych], interdependent, an organ failure occurs,[link widoczny dla zalogowanych], will inevitably affect the other organ. Therefore, recurrent myocardial infarction was more complicated with multiple organ damage, recurrent myocardial infarction, elderly multiple organ damage and poor prognosis and high mortality. Must take preventive measures. T of early treatment and early detection of lift in order to obtain satisfactory results. Induced hypertension complicated vulvar edema in 2 cases a high degree of security deposited Province Tang Zhaizhen Dangshan County Health Center (2353】 Zhang Ziling Field Light cases of l, F,: I years old, a farmer. 4 in early pregnancy. Weeks. Field size of edema can not walk 2 days, 22 April 1990 Japanese hospital. Check the body temperature 36.5 ℃, pulse 9o times / rain, respiratory 2O times / mEn, blood pressure 21 /】 BkPa. Zhiqing stretch, obviously anemic appearance. Heart rate Qi, the apex could be heard and l slow systolic murmur, quality soft, coarse breath sounds in both lungs, a step the amount of wet rales. Abdominal States 84cm, fetal position is. Fetal heart good. Body showed pitting edema. Particularly the Ministry will be too small for the HU. Blisters was like, especially in parts of maggots were drooping. Ming lips together too small, no Xiang significant dividing line. Check color rear 8g. Blood cells ii. 2 × 1ol, L, urinary protein (guess +). Give blood, urine, blood pressure, supportive therapy and other treatment for 4 days after the edema disappeared. Blood pressure, blood reached the normal range of rhinoceros hide hidden, perineum Long lips returned to normal size. In section 5 orders, delivery of a healthy baby girl successfully. Pour 2, women. 22 dill, farming, beginning 32 weeks pregnant. Park, edema, high degree of perineal edema, can not walk t Man, February 1992】 20B Charles hospital treatment of people hung temperature 36.5 ℃, blood pressure 208/16kPa, pulse 84 times / rain breathing 19 times / rain. WBC l1.7 × 1O. / L, urinary protein (rH) clear consciousness. Heart rate Qi, Jazz can be heard at the end and a small amount of lung rales process. Interference left anterior fetal position, fetal heart rate is good, abdominal States 80cm. 3 refers to the palace on the end of umbilical. Body was pitting edema, high degree of edema, bilateral small, translucent bubble technology together, so other large,[link widoczny dla zalogowanych], especially close to the Ministry of berry will sprout. High tension, like the blood Zheng Jia was mild, mild friction that is generated Juteng. Difficulty walking, prone position is limited. People at the hospital, given a diuretic, blood pressure, diet adjustment,[link widoczny dla zalogowanych], treatment and prevention of infection support the comprehensive treatment j hit. Day 2 blood pressure dropped to 16/12kPa, significant improvement in upper extremity edema. Urination frequency and volume increases. Day 3 blood pressure 14.6/9.3kPa, urine protein disappeared, blood test normal range, the size of edema 6 days significantly improved whole body edema disappeared, the size returned to normal. Pregnant women to walk freely. 7 On the afternoon will be out of Wan Hu Department account the size of the Ming Zhu lip edema is the increased pregnancy ~ kinds of high performance. As we all know, a lot of pregnancy hypertension edema is one of Zhu-like, to droop as the most important parts of early swelling was only pregnant women under the dirty attention. Especially rural women, that pregnancy edema is a normal pregnancy. The rest and sleep can reduce swelling after surgery or disappear. Until that is too small to edema, the patient and delayed treatment ashamed circle time, until the development of a serious condition, suffering unbearable blind, can not stand only with the treatment. 2, paternity of this paper are the status of the tree. For the implementation of the Maternal and Child Health Law. And called for obstetrics and gynecology staff. Another particularly rural workers, to cover the implementation of strict management system of maternal copies. Universal knowledge and advocacy motherhood - serious and responsible to undertake regular prenatal care and the prevention of pregnancy hypertension.
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