Hauv kev plawv nres, uas ua rau lub siab ntawm kuv lub cev tsis muaj zog, muaj peev xwm ua kom qis qis hauv ntshav siab, tsis muaj ntshav txaus rau lub cev, mob plawv thiab tsis nco qab. Qhov mob no hu ua cardiogenic poob siab. Nws tshwm sim thaum lub sij hawm tseem ceeb ntawm kev ua paug myocardial thiab nyob rau hauv 60% ntawm cov neeg mob tuag.
Cardiogenic poob siab - ua rau
Lub hauv paus tseem ceeb tshaj plaws yog qhov kev loj hlob ntawm no phenomenon, necrosis ntawm phab ntsa, npog cov hlwv ntawm cov hlab ntsha, qhov kev siv tshuaj tua kab mob me me, lub plawv tsis ua haujlwm thiab mob aneurysm. Cardiogenic poob siab yog kuaj tau nrog lub me me myocardial infarction, yog tias:
- Lub plawv nres tsis tshwm sim rau thawj thawj zaug thiab yog nrog ib qho chaw ua si;
- muaj ib qho arrhythmia uas raug rau cov hemodynamics.
Cardiogenic poob siab - kev faib tawm
Muaj ntau ntau hom ntawm lub xeev no:
- Reflex poob siab, uas yog yam tsawg kawg uas txaus ntshai heev uas tsis tshwm sim los ntawm kev puas tsuaj ntawm myocardium, tab sis yog tshwm sim los ntawm kev mob siab mob nrog lub plawv nres. Nrog lub caij nyoog khob cij, lub siab nce siab, lwm yam kev poob siab yuav tsim mus rau hauv ib qhov tseeb theem.
- Qhov tseeb poob siab uas tshwm hauv nws lub plawv nres loj heev. Nws tshwm sim vim yog kev kho plab tsis muaj teeb meem.
- AREA nrog nws tus yam ntxwv yog suab tsis txawv ntawm qhov tseeb ntawm kev poob siab, tab sis lawv muaj ntau tshaj qhia thiab kav ntev dua. Xws li kev poob siab tsis teb rau kev kho mob thiab hauv 100% ntawm cov neeg mob ua rau tuag taus.
- Kev kho mob hnyav tau tshwm sim vim yog lub plhaw ntawm tachycardia, uas tshwm sim nyob rau hauv tej yam kev mob ntawm atrioventicular blockade.
Cardiogenic poob siab - cov tsos mob
Txoj kev mob ntawm tus neeg mob yog ntsuas raws li loj heev. Yog li muaj xws li cov cim qhia:
- retardation ntawm cov tshuaj tiv thaiv;
- clouding ntawm nco, nws poob yog ua tau;
- tus neeg mob qhov kev kiv taub hau;
- huab nyob hauv galaz;
- mob tom qab lub plab;
- palpitation;
- hnoos;
- ntse poob hauv siab;
- pib ua pa nyuaj.
Nyob sab nraud daim ntawv ntsuam xyuas cov nram qab no muaj qhia:
- acrocyanosis;
- pallor ntawm daim tawv nqaij;
- tawv nqaij noo noo;
- txias tes thiab taw;
- Nyob rau theem qis, necrosis ntawm cov tswv yim ntawm pob ntseg thiab lub qhov ntswg tuaj yeem pom.
Cardiogenic poob siab yog thawj kev pab kho mob
Kev pabcuam thib ib suav nrog tus neeg mob so thiab xa tus menyuam sai sai rau lub tsev khomob. Cov kws kho mob tuaj yeem pab tus neeg mob nrog ntau yam kev ua si rau txoj kev mus rau lub tsev kho mob. Qhov no tuaj yeem ua raws li hauv qab no:
- Tshaj tawm mob nrog nitrous oxide.
- Kev taw qhia txog mezaton (1%) intravenously thiab cordiamine (10%) ntawm cov kab mob.
- Thawj cov kev pab rau cardiogenic poob siab kuj muaj raws li hnyav-radiotherapy.
- Tso nrog tub qis dej (2%).
- Nqa tawm ntawm defibrillation ntawm lub plawv, yog qhov poob siab yog los ntawm paroxysmal tachycardia.
Kev kho mob ntawm kev hnov mob plawv
Txoj kev kho yog tsom rau kev ceev cia cov kev khiav haujlwm ntawm myocardium. Kev tiv thaiv yog lub ntsiab ntawm kev tawm tsam.
Yog tias muaj mob ceev nrawm, tus neeg mob tau txhaj cov tshuaj tsis tuaj yeem tso nrog cov neeg tsis tuaj yeem mus txog 90 hli Hg. Tom qab ntawd lawv hloov mus rau dopamine, uas cuam tshuam zoo rau tus mob, nthuav cov kab mob cerebral, hlab ntsha ntawm ob lub raum thiab lwm yam kabmob uas nyob hauv cov kabmob plab.
Tiv thaiv kev tiv thaiv yuav tsum yog nyob rau hauv lub xeev ua ntej:
- Tshuaj loog nrog cov roj nitrous oxide, neuroletoanlagezii, electroanalgesia.
- Kev tiv thaiv ntawm arrhythmia los ntawm kev qhia txog lidocaine, etatsizina thiab ornid.
- Nqa tawm fibrinological therapy.
- Tshem tawm ntawm lub plawv tsis ua hauj lwm los ntawm kev siv cov tshuaj roj, oxygen thiab strophanthin.
- Qhov kev xav tau rau tsev kho mob thaum ntxov thiab muab pawg ntseeg nrog cov khoom siv rau kev siv dej tshuaj tua kab mob.