血汗管外科题目(国外英文资料).docVIP

心血管内科题目 Cardiovascular medicine 1, the time window for the treatment of intravenous thrombolysis and the identification of the success of thrombolysis? Answer: time window: onset time 12 hours, ST segment elevation myocardial infarction (mi), the onset time is 12-24 hours a day, but if there is a progressive ischemic chest pain, broad ST segment elevation may be considered. The direct basis of the success of thrombolysis is directly judged by the coronary angiography. The indirect basis of the success of thrombolysis: the ST segment of the ekg, which is raised in the electrocardiogram (ecg), is reduced by 50% within two hours of the thrombolysis. The chest pain basically disappears within two hours; A perfusion of arrhythmia occurs within two hours of the thrombolysis; The peak serum ck-mb peak appeared (within 14 hours). What are the clinical features of the left cardiac dysfunction? (1) symptoms: different levels of labor, nocturnal breathing difficulties, or sitting breath, acute pulmonary edema; Cough, sputum and haemoptysis; Exhaustion, fatigue, dizziness, panic; Lower urinary and renal impairment symptoms. (2) physical signs: the pulmonary hygroscopic rale, the dual pulmonary symmetry fine wet luo, as the disease is light to heavy, the lung luo tone from the confined to the lungs to the full lung; Heart signs: the heart is enlarged, can smell and diastolic and the basic heart disease signs. (3) X line: pulmonary blood clotting signs: increased pulmonary vascular imaging, increased pulmonary angiography, blurred lung field, KerleyB line (4) echocardiogram: EF value 50% or E/A 1. What is the clinical feature of the right cardiac dysfunction? Answer: (1) symptom: the digestive tract symptom: abdominal distension, nausea, vomiting; Dysplasia is more likely to be caused by the onset of the left heart failure or shunt precondition and lung disease. (2) physical signs: edema, first appearing in the lower part of the body; The carotid vein, which causes the venous