Me pēhea te ki te ite i te ngakau tohu whakaeke

Tohu o infarction myocardial e whakawhanakehia rite ki te hua o te arumanga ohorere o te supply toto ki te uaua ngakau, hua i roto i tona necrosis whakawhanake. infarction myocardial e pā ana ki te puka o te manawa toto pūroto.

I roto i te whanaketanga o te occlusion myocardial e faufaa thrombus coronary cardiac faktoromi, ārahi ki te hanganga o whitiki nui o uaua necrosis (necrosis) me te whāiti o oko cardiac tika ki te hanganga o whakatū papa atherosclerotic.

Ki te he whānui i roto i te āhua whāiti o te iatuku pūngākau (e rua, neke atu rānei pera whai wāhi i roto i te tukanga), me ngā myocardiosclerosis whakawhanake microinfarction. He iti korerotia atu te whānuitanga o te lesion Tohu o reira. Ahakoa ko te whakaeke ngakau iti tenei, ka taea e arahi i te reira ki te taua fifi me mau hopearaa, e kei te whanake i te necrosis nui rahi.

tohu infarction myocardial

I te timatanga o te mate, amuamu tūroro o nui, me te auroa mamae pouaka. Ko te putanga matarohia o te ngenge o te localization tenei. Pain tonu mō te hāora, me te e kore e haere i muri i tango pūhau. He atu wāhi o te mamae kōwhiringa, hei tauira, kia puta ai i roto i te kopu (gastralgichesky puku kē ranei) i roto i te epigastrium ki dyspnea te rere (ahua huangō). kia hoatu te mamae i roto i te hoki, kaki, me te ringa. E mea pinepine te mea na kaha e reira he ru cardiogenic, ki te mamae koi kore ventricular maui , me te edema pūkahukahu. E mea pinepine hono fakahohaasi te manawataki o te ngakau, whakaora mokowhiti me taka pēhanga toto te tahi atu ara a tawhio noa. Ki te puta ventricular fibrillation, i reira kia tae mai he mate haumanu.

Ki te i roto i te haora tuatahi i muri i te takanga o te whawhai i runga i te cardiogram tuhia arrhythmias ventricular mōwaho, kia ai taua mea tohu o te whakahokinga mai o patency o te AVC o te ngakau.

I tua atu ki te mamae i roto i te ngakau, i te tohu tuatahi o te whakaeke ngakau - he pēhanga teitei, i te mea he awhina mamae, te tikanga e wahi, mokowhiti tere, te tinana pāmahana ara ki subfebrile. Kei te nui haere te pāmahana ki te toru ranei wha ra. I roto i te toto whakanuia ana te maha o ngā pūtau ma toto, nui haere auau parataiao ngeniwhero me te taumata o te ururua nitrogenous (kaua e tangohia tenei tohumate mō urate infarction). He tohu o te tauhohenga inflammatory enei katoa. I roto i te haora tuatahi kua reira he hua o whākōkī: kinase creatine, ALT, AST, LDH.

I te cardiogram mō te pikitia ara myocardial āhuatanga ST wāhanga niho whānui Q, takanga o QS matatini ventricular arata'i i roto i te hunga i reira i te necrosis myocardial reira. Hoki te tātaritanga tika ake, inā koa ki te myocardial toutou me tango te raupapa o cardiograms.

Ki te reira i tetahi whakaeke ngakau iti, he maha nga tohu e kore e pera korerotia, me te kore e waiho rite kaha te mamae. Ka taea e te tangata te neke i te reira "o ratou waewae ki runga ki", ranei hape mo te angina, ka matapōkeretia reira kitea i runga i te hiko-. Tohu o te whakaeke ngakau ki pāpaka iti rahi nuitia kite i roto i te iwi e mate ana i angina mo te wa roa cardiosclerosis ranei. I roto i aua wā i reira puta ai i roto i nga wāhanga tuatahi o te mate te AVC, he rite te tīwaiwaka o ngā pāpaka transmural te whakaeke ngakau iti.

I te tīmatanga o nga ra kia waiho te manawanui euphoric rawa, korerotia pea whakahou o te mamae i roto i te ngakau, te takanga o arrhythmias me arrhythmia.

Kia whakawhanake rite te pōauautanga o te taiepa ngakau ranei aneurysm o te haoraora, kore ngakau me te edema pūkahukahu, emboli iaia whekau thrombi me wahi.

maimoatanga

ngakau whakaeke maimoatanga tika kawea atu i roto i te fare ma'i. E tukinotia take kino i roto i te tiaki kaha. pūhau whakaritea i roto i te puka o te whaowhia rō-uaua o pota nui o heparin, Pë. Tīpakongia ranunga kei roto blockers pāhare pāporo polarizing beta, hāora inhalation. Me ū te manawanui ki moenga okiokinga, me te kia rite kopakia ana e te ahotea me te manga.