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一、急性期处理:1.一般治疗:休息是控制心脏过负荷最好方法。动物实验显示小白鼠在感染柯萨奇A_(?)或B_3型病毒后继续活动者较静休者心脏所含病毒数量多,病变重。临床发现本病患者心肌功能或心储备力有不同程度降低。卧床休息可使病人的心率、血压、每搏量以及收缩力等降低,从而使心脏体积缩小。故急性期强调卧床休息是非常必要的。卧床时间一般持续至热度退后1—2周,有心脏增大者在心影恢复正常后再逐渐增加活动,有人认为这些患者最好卧床半~1年,力争心影缩小为止。并发心力衰竭时卧床时间应根据具体病人而定,如心影迅速恢复正常且安静时心率亦在正常范围,一般卧床一月左右,然后在观察心影及心功能情况下逐渐增加活动量。反之,如
First, the acute phase of treatment: 1. General treatment: rest is to control the heart overload the best way. Animal experiments show that the number of viruses contained in the hearts of mice after reperfusion with Coxsackie A_ (?) Or B_3 virus is more severe and the disease is heavier. Clinical findings in patients with myocardial function or cardiac reserve have varying degrees of reduction. Bed rest can make the patient’s heart rate, blood pressure, stroke volume and contractility reduced, so that the heart size is reduced. It is necessary to emphasize bed rest in acute phase. Bed rest time generally lasted 1-2 weeks, with heart enlargement in the heart shadow back to normal and then gradually increase activity, some people think that these patients is best bedridden half to 1 year, and strive to reduce the heart so far. Heart failure time when bedridden should be based on the specific patient may be, such as rapid recovery of normal and quiet heart rate heart rate is also in the normal range, usually about bed in January, and then observe the heart shadow and heart function gradually increase the amount of activity. On the contrary, such as