心肌梗死lecture 教程文件.pptVIP

;; Let’s learn some New words ;Let’s learn some New words;Let’s learn some New words ;;;;; 二、 symptoms 1. Chest pain: Typical: long time (several h ~ several d), including the nitroglycerin invalid Not typical: abdomen, jaw下颌, back pain; 2.Systemic symptom:fever, dizziness[dizinis],weakness. 。 3.Gastrointestinal symptoms:胃肠道症状： [,ɡ?str?uintestin?l] ; 4、 Arrhythmia[?riθмi?]: all kinds of arrhythmia ① Ventricular [ventrikjul?] arrhythmia室性心律失常 ② Sinus [sain?s] tachycardia [,t?kikɑ:di?]窦性心动过速 ③ Slow arrhythmia 缓慢心律失常 5、 Heart failure ① Acute left heart failure ② Acute right heart failure ; 6、 Hypotension and shock ： Low blood pressure, no microcirculation dysfunction障碍； Shock：1.SBP80mmHg； 2.Pulse fine fast, complexion [k?mplek??n] is pale, skin wet and sweat ； 3. Fidgeting [fid?it], and Slow response烦躁不安、神志迟钝； 4. Urine output↓(20ml/h); ;【Laboratory tests 】 一、 electrocardiogram 1、 characteristically特征性改变： ① Pathological Q wave ； ② st-segment outlining the upward hiked [haik] ST段弓背向上抬高； ③ T wave inversion 。 ; 二.Myocardial necrosis markers （ 心肌坏死标记物） Rise time peak time drop to normal Muscle red protein 2h 12h 24-48h troponin [‘tr?p?nin] 3-4h 11-24h 7-10d CK-MB 4h 16-24h 3-4d ( 肌酸激酶同工酶);。 三、 Other inspection WBC(rise)↑；ESR↑： 1 ~ 2 days after illness appeared, 1 ~ 3 weeks continued. ;Gross anatomy classification 1.Have q-wave myocardial infarction: infarction involving the room wall, can spread all layers pericardial; [,perikɑ:di?l,-di?k] 心包膜 2.No q-wave myocardial infarction: Small range myocardial infarction, subendocardial infarction .