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Professor Yu Kaicheng experience in the treatment of cardiogenic shock

The amount of reduced clinical performance appears hypoperfusion. Cardiogenic shock, due to reduced cardiac output, blood pressure decreased after the adrenal sympathetic nerve system, blood catecholamine concentrations increased, resulting in around the small blood vessels, increased resistance, when the organ blood flow dropped to a certain critical point, the following occurred shock, a lot of blood stasis in the microcirculation and into the interstitial space, resulting in drastic reduction of the effective circulating blood volume. Cardiogenic shock, pulmonary microcirculation changes in lung compliance, reduced lung blood volume reduction, resulting in alveolar gas exchange of a capillary barrier. 2 Professor treatment experience in complex pathogenesis of this disease, mainly mixed actual situation in order to empty the main, yin and yang, qi and blood deficiency, the development of multiple organ with the disease. Treatment must take emergency measures, race against time. Patients should be supine or semi-recumbent position, keep warm, give oxygen, the first injection or intravenous infusion Shengmai Shenfu injection or join with other youth, according to the results of flexibility Yiqiyangyin syndrome, back to the positive fixed de, Yu Yang Qian-yang and other laws. 1 Changchun University of Chinese Medicine, First Affiliated Hospital (Changchun 130021) 2 Second Hospital of Changchun, Jilin (Changchun 130051) · l87 · · doctors essence nourishing Act 2.1 Act disability allowance for consumption of gas blast , both Qi and Yin injury or chronic illness, or heart Qi and Yin deficiency and septic shock are prime. Zheng Jian upset thirst, urine short-astringent, dry stool, pulse small, such as Tianjin Shezao loss card, and see Shenpi fatigue, paleness, shortness of breath and promote interest, spontaneous sweating hot sticky or cold, weak rapid pulse ,[link widoczny dla zalogowanych], rather then the coma limb Jue, such as Qi deficiency or pulse scattered off gas card. Governance in order to Yiqiyangyin, side by Shengmaisan flavored, medicinal red ginseng, Schisandra, Ophiopogon japonicus, Scrophulariaceae, astragalus and so on. 2.2 Back to the positive law applicable to solid off the cold virus directly in the Shao fever, or heart and kidney yang deficiency factors, sudden storm off the shock, or shock off late into the Qi and Yin Yang off those two. Zheng Jian trance or Hunmei, pale lips, or cleaning, Jueleng limbs, cold sweat for the array, the interest to promote gas micro, aversion to cold, body temperature did not rise, TANSEI tongue, pulse micro-stricken or can not be touched; or part-see below Li Qing Gu, array for the red, fever see you, thirsty and very hi hot, hand, foot and agitation, through the clothing touching bed. Yang solid governance in order to back off, application parameters such as with soup or a decoction of medicinal red ginseng, aconite, ginger, peel, licorice, cassia twig, Schisandra, keel, oysters, dogwood and pig bile. Law Yuk Yin and Yang 2.3 This Law applies to heart and kidney yin deficiency ferrite, or fever late, Yin Ye Kuhe, complicated by shock. Zheng Jian God suddenly horrified, facial flushing, sweating, such as oil, thirst To drink, no more drinking, drinking does not quench thirst, or hot upset and see the body, or limbs, warm, dry tongue, no coating of light peel, or statement on behalf of the imaginary clock . Yin and Yang governance to education, to use the top three Fumai Decoction, medicinal oysters, turtle, turtle shell,[link widoczny dla zalogowanych], raw land,[link widoczny dla zalogowanych], Radix, Cornus officinalis, Schisandra and Zhigancao. 3 typical cases Liu, male, 44 years old, because of chest pain 3h, with sweat, body cold, and emergency hospitalization. Patients were precordial pain, sweat, limbs Jueleng. Search: confusion, blood pressure was not detected and, weak heart sounds, pulse weak. Immediately given oxygen, intravenous Shenfu 50ml and intravenous Shenfu 60ml, 5min after the patients recover consciousness, blood pressure 80/50mmHg, but still not warm extremities. SND Shengmaisan combined to give oral, symptoms gradually improved. ECG showed a VsS-T V-segment elevation 0.20.4mV, and pathologic Q waves; enzyme: AST67u / L, LDH308u / L, CPK495u / L. Western diagnosis: coronary heart disease, acute extensive anterior myocardial infarction, cardiogenic shock. TCM diagnosis: real heartache, cardiac de-license (Qiyinliangxu folder stasis). Expelling Activating Blood stasis. Myocardial infarction to the mixture and Anti Shengmaisan Modified: ginseng 10g, Radix 15g, Schisandra l5g, Gui 15g, Radix Astragali 25g, Salvia 25g, Chuan Xiong l5g, peach kernel 15g, safflower l5g, angelica 20g, ginger 20g. Even the top l0 service agents, and intravenous injection, Danshen injection 18d, Paul cardioversion Oral Liquid oral symptoms improved, blood pressure 120/70mmHg, review the normal enzyme,[link widoczny dla zalogowanych], ECG s-T come down significantly. Following the service at the top 7d, discharged. Note: The patients were middle-aged men, the incidence of more acute,[link widoczny dla zalogowanych], because the heart Qi and Yin Deficiency, systolic blood stasis, not General pain and heartache made for the dedication of the severe does not maintain, there cardiogenic off card. Therefore, treatment with qi and yin, promoting blood circulation for the law, so that adequate Qi and Yin, bleeding was eliminated, heart vessel was re. About 1 month treatment, heartache disappears, blood pressure returned to normal, ECG Ming beans improved shock to correct the discharge. (J} is issued on the date of 2006-10-19)
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