2012年3月6日星期二

HsCRP judge what's the similar disease symptoms related with myocardial infarction

   The pathogenesis of myocardial infarction of speed, need to immediately to rescue, otherwise it life dangerous, this needs medical workers rapidly to judge illness, usually the doctor will choose hsCRP protein to judge, this doctor save their patients for made the time, this is a lot of medical equipment could comprehend. So myocardial infarction and easy to confuse what disease?

    The disease with the following a few clinical disease should be identified:

    First,Stenocardia
    The pain of angina pectoris nature and myocardial infarction identical, but the attacks are more frequent, with a diachronic short, generally no more than 15 minutes, before the onset of often inducing factors, not associated with fever, white blood cells, sedimentation rate increase red blood cells added fast or increased serum myocardial enzymes, ecg changes or have no st-segment temporary down or raised, seldom occurs arrhythmia, shock and heart failure, contain nitroglycerin piece of good curative effect and so on, for identification.

    Second,Acute pericarditis
    Especially acute nonspecific pericarditis, can have more intense and lasting the area before the heart pain, electrocardiogram (ecg) have ST segment and T wave change. But pericarditis patients in pain and or before, have fever and blood increased WBC count, pain in deep breathing and cough often accentuate when, medical examination can be found pericardial friction rubs, tend to be serious illness of myocardial infarction, electrocardiogram (ecg) except aVR outside, the guide league are ST segment of the arch up down, no abnormalities, Q wave appear.

   Third,Acute pulmonary embolism
    Pulmonary embolism can often cause large chest pain, shortness of breath and shock, but have increased sharply right heart load of performance. Such as right ventricular increases rapidly, pulmonary valve area to enhance and it beats the heart sounds hyperthyroidism, tricuspid area appears systolic murmurs, etc. Fever and white blood cells has also increased earlier. Electrocardiogram (ecg) and the shaft right, Ⅰ guide united appear S waves or the original S waves deepen, Ⅲ guide united appear Q wave and T wave the cart before the horse, aVR guide united appear high R wave, the bosom is united transition zone moving to the left, left the bosom is united T the wave, and the changes of myocardial infarction is different, for identification.
    Fourth,Acute abdominal disease
    Acute pancreatitis, peptic ulcer perforation, acute cholecystitis, gallstone etc, the patient can have abdominal pain and shock, and may be associated with acute myocardial infarction in the abdominal pain patients affected confusion. But careful questioning of history and physical examination, and it is easy to make identification, ecg and serum myocardial enzymes to determine clear diagnosis.
    Fifth,Separation of aortic dissection
    With severe chest onset, seemingly acute myocardial infarction. But the pain is a start of peak, often radiation to the back, ribs, abdomen, waist and lower extremities and two upper limb blood pressure and pulse can have obvious difference, and a few have aortic valve shut down is not complete, can have lower limb paralysis or hemiplegia temporary. X-ray chest radiograph, CT, supersonic detection to aortic dissection in the liquid, for identification.

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