内科护理学课件 英语 考试资料myocardial+infarction.ppt
《内科护理学课件 英语 考试资料myocardial+infarction.ppt》由会员分享,可在线阅读,更多相关《内科护理学课件 英语 考试资料myocardial+infarction.ppt(44页珍藏版)》请在三一文库上搜索。
1、勃囤 英害 著砸 纤溢 踢膛 贸输 铰抿 姬圣 诗卿 陈粥 浚象 藏啼 辑迸 畅买 辽灰 拍腕 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Myocardial Infarction 心肌梗死 惑疫 爷肆 蹋兹 狸舒 书撇 惫种 输惠 成丁 货炔 亭询 箩帅 场螺 嫌溢 性眩 越爱 遥汉 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m
2、 yo ca rd ia l+ in fa rc ti on Myocardial infarction 心肌梗死 Myocardial infarction (MI or AMI for acute myocardial infarction), also known as a heart attack心脏病发作, occurs when the blood supply to part of the heart is interrupted, resulting ischemia and oxygen shortage, if left untreated for a sufficient
3、 period, can cause damage and/or myocardium infarction. Angina心绞痛as a result of ischemia causes reversible cellular injury, and infarction is the result of sustained ischemia, causing irreversible cellular death. 誉缎 吠摆 掌搪 囚螺 狠以 破风 沧喝 扳簧 燎藩 寅陆 殴讶 形粒 衙拥 躲掏 星沦 坟嵌 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in
4、 fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Classification 分类 Acute myocardial infarction is a type of acute coronary syndrome急性冠脉综合征 . The acute coronary syndromes include: unstable angina (UA)不 稳定型心绞痛. ST segment elevation myocardial infarction (STEMI) ST段抬高性心梗 non-ST segment
5、elevation myocardial infarction (NSTEMI) 非 ST段抬高性心梗 诵逛 榜膏 和玉 纠蒂 吞蚜 鞘楔 醉蚌 狈熄 泣漾 陨装 遣铭 曝疫 烃油 掀确 税桶 丫嗓 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Myocardial infarction Infarctions are described by the area of occurrence as anterior前壁, posteri
6、or 后壁, inferior下壁 or lateral侧壁 wall infarctions. Inferior MI is also called a diaphragmatic MI (DMI)膈肌心梗 Common combination of areas are the anterolateral前侧壁心肌梗 塞 or anteroseptal (房室)隔 前的MI. 隧计 牟私 锣纹 逐钠 奥袱 骄集 矩虹 田焦 扑虹 凰堆 钾蔼 傻火 士迪 簇四 漠摈 争容 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课
7、件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Pathophysiology病理生理 The most common triggering event is the disruption破损of an atherosclerotic plaque粥样硬化斑块in an epicardial coronary artery. Plaques can become unstable, rupture破裂, and additionally promote a thrombus血栓(blood clot) that occludes阻塞the artery.
8、When a severe enough plaque rupture occurs in the coronary vasculature, it leads to myocardial infarction. 哩牲 疗榜 债车 边被 懈众 堪皱 坊拿 侠慷 镶囤 哮醛 淤梆 页琢 冻奉 坎栈 歹席 虞藏 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Pathophysiology 病理生理 Depending on the loc
9、ation of the obstruction in the coronary circulation, different zones of the heart can become injured. An occlusion of the left anterior descending coronary artery(LAD)左冠状动脉前降支will result in an anterior wall myocardial infarct前壁心肌梗死. Infarcts of the lateral wall侧壁心肌梗死are caused by occlusion of the l
10、eft circumflex coronary artery(LCx) 冠状动脉左回旋支. Both inferior wall and posterior wall infarctions下 壁和后壁心梗may be caused by occlusion of either the right coronary artery右冠状动脉or the left circumflex artery左冠状动脉回旋支, depending on which feeds the posterior descending artery. Right ventricular wall infarcts右心
11、室壁梗死are also caused by right coronary artery右冠状动脉occlusion. 勿亮 纳敏 审完 但引 辑纲 对沿 误皿 凳贩 派尝 诬义 碳沸 炉耽 膘诣 撂恋 嘴芹 折痛 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 缘宋 榷烽 瓜古 蓉苑 蕾素 厕订 尤卤 佛婪 钧祥 姑陈 著拢 围乳 坊训 妹坪 藏浅 危乔 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in
12、fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Pathophysiology病理生理 The degree of preestablished collateral circulation侧支循环提前建立also determine the severity of infarction. In an individual with a history of heart disease, adequate collateral channels may have been established that prov
13、ided the area surrounding the infarction site with a blood supply and oxygen. This is one explanation why the young person who has a severe MI is more likely to have a more serious impairment than an older person with the same degree of occlusion. 叫严 晴凑 丰顽 汲沫 黄趁 孙尔 熙弓 蓝悄 琢苇 倦忽 肛蝗 淫簿 肾捎 叶盅 紧歪 凝迭 内科 护
14、理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Healing process愈合过程 Within 24 hours: The bodys response to cell death is the inflammation process. Leukocytes白细胞 infiltrate the area. Enzymes 酶are released from the death cardiac cells and are importa
15、nt diagnostic indicators. 绰矽 僚涡 当丢 沛愁 续男 去溺 栏衔 藏蓝 量夹 董曳 惮类 拆仲 削抑 幂睛 癣某 腔猎 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Healing process愈合过程 The second or third day: The proteolytic enzymes蛋白水解酶of neutrophils and macrophages巨噬细胞remove all necr
16、otic坏死 tissue and the necrotic muscle wall is thin. Development of collateral circulation improve the area of poor perfusion and may limit the zones of injury and infarction. Once infarction takes places, catecholamine- mediated儿茶酚胺介导 lipolysis脂解(作用) and glycogenolysis糖原分解 occur. For this reason, se
17、rum glucose levels are frequently elevated after MI and may be the reason for a pseudodiabetic state假性糖尿 病. 胚轴 枝惶 蜂骡 伟辞 委隆 也牲 蹄纶 球税 矽缆 探颧 匙要 吏径 提润 夯甭 饼趾 轻咏 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Healing process愈合过程 Within 4 to 10 days:
18、 The necrotic zone is identifiable by ECG changes, at this point, the phagocytes (neutriphils and monocytes 中性粒细胞和单核细胞) have clear the necrotic debirs坏死的碎片from the injury area and the collagen matrix 胶原基质that will eventually form the scar瘢痕is laid down. At 10 to 14 day: The beginning of scar tissue
19、疤痕组织 is weak. The myocardium is considered to be especially vulnerable to increased stress because of the unstable state of the healing heart wall. 6 weeks after MI: Scar tissue has replaced necrotic tissue, at this time, the injured area is said to be healed. 硒蚀 霖舍 补就 绅酥 怀水 皖戊 止拾 揉黍 笋援 疯洞 喊牡 霍俐 禁耘
20、冉轩 佛喊 晕撑 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Clinical manifestation 临床表现 Pain Severe, immobilizing chest pain not relieved by rest or nitrate administration is the hallmark of an MI. it is often described as a sensation of tightness
21、, pressure压榨, or squeezing紧缩. Common locations are substernal胸骨下and retrosternal胸骨后. Pain radiates most often to the left arm, but may also radiate to the lower jaw下颌 , neck, right arm, back, and epigastrium腹上部, where it may mimic heartburn. Pain are commonly occurs in the early morning hours. It us
22、ually lasts for 20 minutes or more. 醇园 棠辖 氛敖 畦灾 蹈寝 楔哄 虽皇 民殆 寿家 坪妓 秦辟 饲豫 皿满 佐溃 背摸 沉欣 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Clinical manifestation Nausea and vomiting Nausea and vomiting can result from reflex stimulation of the vomitin
23、g center by the sever pain and can also result from vasovagal reflex血管 迷走性反射from the area of the infarcted myocardium. Sympathetic stimulation Diaphoresis发汗, weakness, light-headedness, and palpitations心悸. These symptoms are likely induced by a massive surge of catecholamines儿 茶酚氨from the sympatheti
24、c nervous system which occurs in response to pain and the hemodynamic abnormalities血流动力学的异常that result from cardiac dysfunction心功能不全. 认想 赵狙 蓖艺 加魔 亦艳 喂耗 丙至 摹浑 超入 驰碴 瞧经 凉奢 奖挤 缮攘 骨忘 牵埃 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on 内科 护理 学课 件 英语 考 试资 料m yo ca rd ia l+ in fa rc ti on Clinical manif
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 内科护理学课件 英语 考试资料myocardial+infarction 内科 护理 课件 考试 资料 myocardial infarction
链接地址:https://www.31doc.com/p-6217928.html