内科应用顺口溜（Medical application of doggerel）.docVIP

内科应用顺口溜（Medical application of doggerel） Medicine The clinical manifestations of coronary heart disease: Usually no signs, Attack expression, Anxious sweating skin cold, To speed up the rhythm of blood pressure, Alternating pulse, even visible, Gallops, murmurs of Qing dynasty, Inverse division, second tone. The principle of treatment of acute heart failure Sitting, legs sagging, The strong heart diuresis morphine, Vasodilation of aminophylline, Hormone ligation to bleeding, Hormone, sedation, oxygen inhalation. The cause of heart failure The infection disorder of cardiac arrhythmia, The upheaval of the heavy burden of overwork, Anemia with pulmonary embolism, Improper treatment failure. Right heart failure signs Two and other Sanshui Sanshui: edema, pleural effusion and ascites Two: hepatomegaly with tenderness, jugular venous engorgement or engorgement Other: right ventricular gallop, systolic murmur, cyanosis, hair Contraindications of digitalis Two hypertrophic narrow tip, Acute myocardial infarction and heart failure; Two degree atrioventricular block, Sick sinus should not be pre excitation. The ECG showed atrial premature beat The early P and sinus P iso, P-R three to continuously; Not all compensatory pause, We can see the real early nonconducted. The ECG showed atrial flutter Dont flutter in the real speed, equipotential line P, F wave serrated form uniform size interval, QRS wave group does not increase F wide, all impure. The ECG showed atrial fibrillation Atrial fibrillation P disappeared, F wave was small, Three hundred and fifty to six hundred times; P-R interval very uneven, When the normal QRS wave group, widened with poor conduction. Atrioventricular junctional premature beat ECG performance Atrioventricular junctional premature beat, QRS wave in on; P will be retrograde or not, P-R is less than one or two. Paroxysmal supraventricular tachycardia treatment Thorn fan choline digitalis, boost cardioerter anti arrhythmia (Note: the thorn fan for stimul