Cardiogenic poob siab

Cardiogenic poob siab yog ib qho huab degree ntawm lub plawv mob, yus muaj los ntawm ib tug tseem ceeb txo nyob rau hauv cov ntshav siab
thiab lub contractile muaj peev xwm ntawm lub plawv. Qhov no mob entails ua txhaum
ob lub raum thiab lub paj hlwb. Lub plawv poob nws muaj peev xwm mus thawb ntshav nyob rau hauv
hlab ntsha thiab tso nws. Cardiogenic poob siab ua vasodilation,
lub siab poob qis thiab cov ntshav tsis ntws mus rau lub hlwb. Muaj tuaj ib lub ntse
anoxia, ib tug neeg tsis nco, ces nyob rau hauv feem ntau tus neeg mob
tuag tshwm sim.

Cov ua muaj tus mob no yuav ua nws kim heev myocardial infarction, yog hais tias nws yog puas ntau tshaj 40%. Cardiogenic poob siab muaj vim mob myocarditis, ib lub plawv phab ntsa, arrhythmia, mob stenosis los yog ib tug mob tsis ua hauj lwm ntawm lub plawv li qub. Ib tug xeev ntawm kev poob peev xwm ua rau ib tug loj heev pulmonary embolism, nyob rau hauv uas tag sim
lub lumen ntawm pulmonary leeg lub cev.

Soj ntsuam cov tsos mob ntawm kev poob siab yog ib tug cia li caij nplooj zeeg nyob rau hauv cov ntshav siab mus 50/20 mmHg, txias nqua, hnovqab, noo thiab tawv nqaij daj, tachycardia. Ib sij poob rau hauv lub nqua leeg poob lawv cov laus, ob lub raum tsis ua haujlwm lawm.

Yam tseem ceeb uas cuam tshuam qhov tshwm sim ntawm kev poob siab yog nws kim heev myocardial infarction, advanced muaj hnub nyoog, mob ntshav qab zib, lom cardiotoxic tshuaj.

Cardiogenic poob siab kev kho mob

Yuav kom txiav txim seb qhov focal txhab nyob rau hauv lub myocardium yog ua electrocardiogram, uas tso cai rau koj los mus txiav txim lub breadth, qhov tob thiab
infarct qhov chaw. Ultrasound ntawm lub plawv ua rau nws tau qhia hais tias yuav uas department cov raug mob, thiab kom ntsuam xyuas lub contractile muaj peev xwm ntawm lub cev. Cardiogenic poob siab thiaj paub hais tias raws li los ntawm radiopaque diagnostic txoj kev hlab ntsha.

Kev kho mob yog nqa tawm nyob rau hauv lub intensive kev saib xyuas unit. Lub ntsiab lub hom phiaj ntawm txoj kev kho yog ua kom ntshav siab mus ntxiv kom cov ntshav los siab ntsws tseem ceeb. cardiogenic poob siab kev kho mob yuav ua tau kev kho mob thiab kev phais. Tus Neeg Mob nteg, raising ob txhais ceg, kom cov ntshav mov mus rau lub hlwb. Nqa tawm nrog rau oxygen nqus tau pa
siv ib tug daim npog qhov ncauj, nyob rau hauv qhia mob syndrome intravenously promedol
los yog morphine. Rau stabilization ntawm arterial siab muab tshuaj
reopoliglyukina los yog heparin. Rau ib tug zoo mov cov kev mob plawv txhaj zib tov nrog magnesium, poov tshuaj los yog insulin. Yuav kom nce lub plawv dhia intravenously muab tshuaj ntawm dobutamine, dopamine, norepinephrine los yog epinephrine.

Pa tau rov ua nyob rau hauv lub qhov saib xyuas ntawm tus ua hauj lwm ntawm tag nrho cov tseem ceeb heev kabmob. Tshuaj ntshav siab thiab tso zis tso zis. Nyob rau hauv lub qhaj ntawv ntawm kev kho mob nyhuv medikametoznogo tuav phais kev tshwm sim. Nyob rau hauv thawj 8 xuab moos tom qab koj lub plawv nres rau zoo kev coronary angioplasty, uas tso cai rau koj rov qab
contractile muaj peev xwm ntawm lub plawv. Lwm txoj kev yog intraaortic
counterpulsation. Cov qauv no yog raws li nyob rau hauv tus neeg kho tshuab txhaj tshuaj ntawm cov ntshav mus rau hauv lub aorta thiab
Nws tsub kom cov ntshav khiav tsis zoo hauv coronary hlab ntsha.

Cardiogenic poob siab feem ntau muaj nyob rau hauv thawj ob peb teev tom qab myocardial infarction, li ntawd, nws yog ib qho tseem ceeb heev rau nws raws sij hawm kev kho mob. Qhov tseem me me daim ntawv ntawm ib tug reflex poob siab, uas yog heev yooj yim mus cupping. Unresponsiveness daim ntawv cardiogenic poob siab tshwm sim thaum myocardial necrotic txhab ntawm dua 50%. Lub neej no tus nqi nyob rau hauv cov ntaub ntawv no yog nyob ze rau 100%.

Txawm tias muaj tseeb hais tias lub lossi tsim txoj kev tshiab ntawm kev kho mob ntawm cardiogenic poob siab, txoj kev tuag yog ntau tshaj 85%. Yog li ntawd, feem ntau
txoj kev kho yog kev tiv thaiv, nyob rau hauv uas lub cheeb tsam
lub plawv nres thiab relieved los mob.