Keshan disease treatment requires early detection and early treatment

Keshan disease is a cardiomyopathy with a very high mortality rate. The most common type is acute Keshan disease, and its treatment is mainly acute Keshan disease. The most important thing in treating this disease is early detection and early treatment, while also paying attention to care.

1. Large doses of vitamin C can be injected intravenously, with the first dose being 5 to 10 g. The total amount in 24 hours can reach 15 to 30g. It can usually be used for about a week. Drugs that improve myocardial metabolism such as coenzyme A. Coenzyme Q10. Adenosine triphosphate can be used.

2. Hibernation therapy, suitable for frequent vomiting. An irritable person. After taking the medicine, the body's metabolic rate decreases. Decreased myocardial oxygen consumption. It is beneficial to the recovery of heart function. Adults use chlorpromazine 50 mg intramuscularly (children's dose is 1-2 mg/kg). Or use chlorpromazine 25mg. Promethazine 25mg. Pethidine 50 mg intramuscularly or intravenously. Metoclopramide can also be used for frequent vomiting. And correct acid-base balance and electrolyte disorders. Diazepam may also be used. Ensure adequate oxygen supply.

3. Use of vasoactive drugs: for patients with hypotension or shock, when their blood pressure does not rise after taking vitamin C and replenishing blood volume. Vasoactive drugs such as dopamine may be used. Alamin and norepinephrine, etc. If hypotension is accompanied by left heart failure, in addition to using cardiotonic drugs. Dopamine or dobutamine can also be used in combination with sodium nitroprusside. And adjust the drug concentration and infusion rate according to blood pressure.

4. Cardiotonic drugs, acute type. Subacute heart failure. It is advisable to use a rapid digitalis preparation such as 0.4 mg of scutellaria baicalensis or 0.25 mg of scutellaria baicalensis after dilution and intravenous injection. Dobutamine can be used as an alternative if the above treatments are not effective. Amipirozone and fenvalerate. also. Treat acutely with vasodilators. Chronic heart failure. The therapeutic effect is good. In case of pulmonary edema, rapid diuretics such as furosemide or buturonamine can also be injected intravenously.

5. Anti-arrhythmic, frequent ventricular premature beats. Ventricular tachycardia can be treated with intravenous injection or infusion of lidocaine and magnesium sulfate. After the condition is basically under control, the following oral medications can be used for maintenance. Such as Mexiletine. Propafenone. Amiodarone. Disopyramide. Quinidine. Beta-blockers, etc. Supraventricular tachycardia or rapid atrial fibrillation can be treated with intravenous injection of lanatoside. Patients with high or III degree atrioventricular block and slow ventricular rate. Adrenal cortex hormones may be used. atropine. Treatment with isoproterenol, etc. It is necessary to place an artificial cardiac pacemaker for treatment.

Warm reminder, if you want to treat this disease, you should pay attention to the development of the disease and also pay attention to conditioning. To carry out treatment reasonably and avoid serious illness, everyone needs to pay attention to the development of the disease, cure the disease as soon as possible, stay away from the torture of the disease, and at the same time pay attention to care and some health care matters.