心肌梗死lectureppt课件_1

Click to edit Master text stylesLOGO 1 Small lecture Department: the first aid center Presenter : Li Li Counselor: Deng hen Hui LOGO Acute Myocardial Infarction 急性心肌梗死 Click to edit Master text stylesLOGO Lets learn some New words v infarction 梗死 v myocardial 心肌的 ischemic iskemik局部 缺血的 v necrosis nekrusis坏死 v coronary 冠状动脉的 v segment 段 v myocardium心肌 v atherosclerotic ,rusklrtik动脉粥样 硬 化的 v Scar healing 瘢痕愈合 v enzyme 酶 arrhythmiarii心率失 常 accompanied 伴随 Nitroglycerinnaitruglis rin 硝酸甘油 nausea n:zi恶心 electrocardiogram i,lektruk:diurm心电 图 dizziness dizinis 头晕 Gastrointestinal胃肠道 Shit 大便 Coagulative kugjuleitiv 凝固性 fibrosis 纤维化 Click to edit Master text stylesLOGO Lets learn some New words v Urine output 尿量 v Pathological 病理的 v hiked haik 抬高 v inversion 倒置 v serum sirm, si:r- 血清 v pericardial 心包的 subendocardial 心内膜下 v tranquilizer 镇静剂 v urokinase ,jurukaineis尿激酶 streptokinase ,streptukaineis, -ki- , -neiz链激酶 haemorrhage hemrid出血的 reperfusion 再灌 invasion发病 unobstructed 通畅 Thrombolytic 溶栓 troponin trpnin 肌钙蛋白 dynamic dainmik 动态的 Click to edit Master text stylesLOGO Lets learn some New words v infarction梗死 v myocardial 心肌的 ischemic iskemik局部缺血的 v necrosisnekrusis坏死 v coronary冠状动脉的 v segment段 v myocardium心肌 v atherosclerotic动脉粥样硬化的 v Shit大便 v Coagulative凝固性 v fibrosis 纤维化 v Scar healing 瘢痕愈合 v enzyme酶 v Arrhythmiarii v anginandain v accompanied伴随 v Nitroglycerinnaitrugli srin硝酸甘油 v nausea n:zi恶心 electrocardiogram心电图 v dizziness头晕 v Gastrointestinal胃肠道 v Urine output尿量 v Pathological ,pldikl病理的 v hiked 抬高 v inversion倒置 v serum sirm, si:r-血清 v Layer层 percutaneous,p:kju:teinis 经由皮肤的 v pericardial心包的 subendocardial心内膜 下 v tranquilizer镇静剂 v urokinase 尿激酶 streptokinase 链激酶 haemorrhage出血的 v reperfusion 再灌 v invasion发病 v unobstructed 通畅 v Thrombolytic 溶栓 troponin trpnin肌 钙蛋白 dynamic dainmik动 态的 Click to edit Master text stylesLOGO Contents Definition and causes 1 Clinical manifestations 2 Laboratory tests 3 treatment 4 causes Click to edit Master text stylesLOGO definition Acute myocardial infarction refers to ischemic myocardial necrosis usually 局部缺血的 坏死 resulting from abrupt reduction in coronary 冠状动脉的 blood flow to a segment of myocardium Click to edit Master text stylesLOGO causes incentives : enough to eat , Sleep, shit Basic cause： Coronary atherosclerotic ,rusklrtik ，Severe narrowing causes Click to edit Master text stylesLOGO Histologic 组织学changes Coronary artery occlusion klu:n, - Scar healing Begin to absorb, fibrosis faibrusis Myocardial coagulative necrosis ku gjuleitiv Myocardial began to necrosis 68 w 12 w 112h 2030min Click to edit Master text stylesLOGO Clinical characteristics： 1 Lasting severe chest 3 Electrocar diogram series evolution. 2 Elevated serum sirm, si:r- myocardial enzymes 4 Often accompanied by Arrhythmia, heart failure, shock or even sudden death . Click to edit Master text stylesLOGO 【 Clinical manifestations 】 1.New happen angina pectoris or original anginandainaggravating , nitroglycerin poor effects 2. With nausea, vomiting, sweating, blood pressure drops, arrhythmia, heart failure 3.Obvious electrocardiogram ST - T change ProdromalProdromal ( (前驱的前驱的) ) symptomssymptoms Click to edit Master text stylesLOGO 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, dizzinessdizinis,weakness. 。 3.Gastrointestinal symptoms:胃肠道症状： ,struintestinl Click to edit Master text stylesLOGO 4、 Arrhythmiarii: all kinds of arrhythmia Ventricular ventrikjul arrhythmia室性心律失常 Sinus sains tachycardia ,tkik:di窦性心动过速 Slow arrhythmia 缓慢心律失常 5、 Heart failure Acute left heart failure Acute right heart failure Click to edit Master text stylesLOGO 6、 Hypotension and shock ： Low blood pressure, no microcirculation dysfunction障碍； Shock：1.SBP30min; invasion发病(less than) 70yr； Have haemorrhage tendency ； hemrid Click to edit Master text stylesLOGO 2.Percutaneous,p:kju:teinis transluminal coronary angioplasty (PTCA)经皮腔内冠状动脉成形术： 3.Coronary artery bypass surgery 冠状动脉搭桥术： Click to edit Master text stylesLOGO Angina pectoris and identification of acute myocardial infarction Angina ndainpectorisAMI position substernal painsame characterpressure painsame, degree more severe incentives overworked, excited, enough to eat and cold do not always have time short,1-5min or within 15 minutes Long-lasting, several hours or 1-2 days frequency oftenNo of