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Sighing respiration

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[Intro]

sighing breathing performance of the normal respiratory rhythm in the insert 1 is often accompanied by deep breathing and breathing sighs, patients with multiple readme chest tightness, difficulty breathing, but no breathing difficulties caused by objective indicators, common in children.

[Cause]

sudden deafness is caused by what the?

sudden deafness of unknown etiology, documented cause of the disease caused by a total of 100 species, many of which are rare. according to Mattox (1977 years) the views of the causes of this disease in order for the viral infection, vascular disease, endolymphatic hydrops, lost membrane rupture and the combination of various factors.

[Sign]

early symptoms of sudden deafness What?

(a) deafness. Ferocious disease, hearing loss can in an instant, occur within hours or days, there are early morning when suddenly felt deafness. deafness can be gradually increased by slow, several days after stopping progress. Extent from mild to total deafness. May be temporary, but also for the permanent. Mostly unilateral, sometimes bilateral simultaneously or successively. For cochlear hearing loss, but also for retrocochlear hearing loss.

(b) of the tinnitus. deafness occurred after more than a tinnitus, about 70%. deaf appeared in a few hours before the general, mostly hum, and continued for 1 month or more. Some patients may ignore the stress tinnitus and hearing loss.

(c) of the vertigo. About 2 / 5 days 1 / 2 of sudden deafness with varying degrees of vertigo, of which about 10% of severe hearing loss, nausea, vomiting, sustainable 4 to 7 days, mild dizzy feeling can exist more than 6 weeks. Small number of patients with vertigo as the main symptoms and treatment, often misdiagnosed as Meniere's disease. A few days later to ease, not repeated attacks.

(d) of the ear plug. ear plug hearing loss occurs before the general sense.

(V) nystagmus. Such as dizziness there may have spontaneous nystagmus.

[Aftertreat]

sudden deafness ate?

general no special diet.

[Prevent]

sighing respiration should be how to prevent?

psychotherapy:

trying to communicate with their children, communication, both from home and school to find incentives for students to psychological reducing the burden. Do not sigh like breathing too much attention, so as not to cause anxiety in children.

exercise therapy:

children should be based on personal interests and hobbies, take part in sports activities to divert the attention of children, reduce tension, anxiety. Parents should not be restricted as heart disease, like pediatric care and sports activities.

drug therapy:

this disease usually do not need medication, these treatments ineffective, drugs can take comfort treatment, such as oryzanol, vitamin b1 and so on. Also taking anti-anxiety drugs, such as stability and so on.

[Treat]

treatment of sudden deafness precautions?

1, sudden onset of deafness patients should keep at home An Xinjing, in particular should avoid excessive exposure to noise or the sound Keep home environment clean and tidy, the patient feel comfortable and can help disease recovery.

2, the prevention of colds, some patients with sudden deafness may have an indirect relationship with the flu, so prevention of a cold can reduce risk factors.

3, pay attention not to overworked, so personal and sometimes, RDA. The disease occurs in middle-aged, middle-aged man should therefore pay attention to this point.

Chinese medicine treatment of sudden deafness

No information

sudden deafness western treatment

(a) general treatment

patients as hospitalization, bed rest, restriction of water and salt intake.

(b) of the neurotrophic drugs

should try to use vitamin A, vitamin B1, vitamin B12, oryzanol and energy mixture (ATP, coenzyme A, cytochrome C) and other drugs.

(c) of the vasodilator

mainly used for vascular lesions caused by sudden deafness. nicotinic acid oral, intramuscular or intravenous injection. 1 ~ 2mg plus histamine phosphate in normal saline 250ml or 500ml of 5% glucose infusion (drip and the patient note reaction). 0.1% procaine is also useful 250 ~ 500ml intravenous infusion. Feng-yuan, according to the report with papaverine 60mg dissolved in 500ml of 10% glucose intravenous infusion, day 1, 10 times as a course of treatment, every 3 5 day 2 of treatment, usually 3 courses, he treated 28 cases, 24 cases were effective. due to smooth muscle vasodilator papaverine, a vasodilator effect.

(four ) heparin

it was suggested that sudden hearing loss is often associated with high in blood coagulation. prothrombin heparin inhibit the formation of thrombin, inhibition of thrombin activity, and prevent platelet agglutination and destruction function; there are anti-spasm, reduce vascular permeability and so; and histamine in the body can combine to limit the destruction of histamine on cells. the application of low-dose heparin as a treatment for sudden deafness has been the conventional treatment. can for subcutaneous, intramuscular or intravenous injection, the dose varies. generally deep intramuscular injection every 100mg, 8h once intravenously every 50mg, once every 4 ~ 6h severe cases, can be 100 ~ 200mg 1000ml of 5% glucose the slow intravenous infusion, 24h total no more than 300mg, to extend and maintain the clotting time was 30min (Lee-White test tube method) subject to adjust the dose, but with bleeding tendency, severe hypertension and liver disease in patients with caution or avoid use of double-coumarin, dicoumarol, ethyl acetate and acetone benzyl hydroxyl dicoumarol has a similar effect.

(e) low molecular weight dextran

can reduce blood viscosity, reduced red blood cell aggregation, improve capillary circulation. 500ml with 10% low molecular weight dextran intravenously every 6h after infusion of 500ml, a total infusion of 3 days.

(f) steroids

early application was better, including ACTH, prednisone, prednisolone Long and dexamethasone, etc. corticosteroids on nerve damage and retrocochlear hearing loss caused by a virus effectively. acth ATP can be broken down into AMP, Cyclic AMP can decrease platelet aggregation; acth still break down the role of triglycerides. 40u subcutaneous injection, while subcutaneous heparin 10000u, 2 or 3 times a week, a total of two weeks, inhibit or moderate vasculitis.

(g) diatrizoate (Urografin)

diatrizoate is a water-soluble contrast agent containing sulfur its intravenous injection can not be blood-brain barrier and therefore may not be through the blood cochlear barrier. its treatment of sudden deafness effect may be the molecular packing of the capillary wall defect and restore the damaged blood cochlear barrier to Na +, K +, ATP restored the enzyme activity, and thus restore the cochlear potentials, the improvement of hearing. shanghai Sixth People's Hospital ENT Branch to diatrizoate treatment of sudden deafness in 35 cases, method is to use 60% diatrizoate for intravenous injection or 5% glucose solution for intravenous, 1 to 2 days 2ml, after every 2 to 3 days according to hearing and any drug reactions, can be increasing 2ml, the maximum dose of 10ml, 20 days for treatment, injection volume 80 ~ 160ml. 8 例 while application of Danshen injection. 17 cases, progress in 7 cases, 11 cases ineffective. before treatment iodine allergy test must be made.

(h) mixing oxygen therapy

Carbon dioxide is an effective vasodilator, inhaled carbon dioxide increase cerebral blood flow after 30% to 70% animal inhalation experiments show 10min, 20min, 30min brain blood flow, arterial oxygen increased, confirmed 5% CO2 plus 95% O2 mixture of oxygen will help to improve brain oxygen metabolism in cerebral blood flow and arterial oxygen increased in the case, cochlear microcirculation has also been improved. Murata and other reports inhaled 5% CO2-95% 29 ~ 21min after perilymphatic oxygen partial pressure by the 5.04kPa (37.8mmHg) up to 18.16kPa (136.2mHg). dioxide can promote the separation of oxygen from hemoglobin, carries oxygen to help local anoxic zone Ma but with a mixed force of sudden deafness oxygen treatment of 34 cases, methods for the hour 30min, daily 7h, 3 days , who need to continue daily treatment 4h. 71% efficiency. stop after the application of vasodilator therapy to consolidate the curative effect.

(i) hyperbaric oxygen therapy

li Zhengyan so that hyperbaric oxygen treatment of sudden deafness principle is

① increased oxygen partial pressure, increased plasma volume and blood oxygen in the physical oxygen diffusion rate and therefore can quickly correct the tissue hypoxia. In addition, the greater the partial pressure of gas, the faster the diffusion, so the more the site of oxygen pressure in the hyperbaric oxygen oxygen diffusion to the department's the more.

② In the case of oxygen partial pressure increased, heart rate slow, cerebral vasoconstriction, arterial blood pressure, cerebral blood flow can be reduced 21%, but because the blood oxygen content increased, the organization is still an increase of oxygen, and blood vessels but it can improve or prevent the inner ear edema, exudation and bleeding and they method has been applied treatment of 100 cases of sudden deafness, efficiency 78%.

(j) of stellate ganglion block

traits ganglion block in reflex caused by the expansion of the inner ear capillaries to improve inner ear circulation. Wu Yun body of the report with stellate ganglion block therapy 28 cases of sudden deafness, efficiency 75%.

(k) physical therapy

microwave treatment with blood circulation, improve the role of inner ear microcirculation Wu Yun body with intravenous infusion of Danshen, and with pueraria decoction and microwave treatment of 15 cases of sudden deafness, efficiency 80%.

(l) self-therapy

1, breath-hold method. fixed-rate sit, teeth, pinched nostrils with two fingers, Nuzheng eyes, so that gas fleeing into the ear orifices, roaring sound up to the feeling of a day several times, even to do 2-3 days.

2, rubbing the palm method. sat down rubbing the palm 50 times, while palm hot tight by double ear door. so six times, and even do 2-3 days, treatment should feel lightly clean, can only be effective.

3, ear plugs law. musk 0.5 g, gold scorpion 14 of research to fine, stored in a covered jar. clinical use, a gently Xian Heye collected after a small amount of powder packet night affected ear plugs, remove the following morning, have a certain effect .

[Examine]

sighing respiration should be how?

found in circulating cardiac neurosis, also known as debilitating neurological disease. Heart without organic changes, clinical symptoms and neurasthenia of heart-based, mainly breathing difficulties (often accompanied by a sigh of breathing), palpitations, fatigue, chest pain, dizziness and other symptoms, fatigue or mental stress than in after the occurrence or increased. Sounds Benbingfasheng mainly central nervous system and autonomic imbalance caused by cardiovascular dysfunction results. Based on the above diagnosis of the disease symptoms, coupled with other aspects of physical performance of neurosis, but nor organic heart disease, may be considered disease-based, but must be careful. treatment of this disease focuses on psychological treatment, to eliminate incentives to arrange a suitable physical and sports, and be stable and sedatives.

[Diff]

sighing breathing easily confused with symptoms of what?

1, angina pectoris caused by coronary heart disease tends to be greater in patients aged, mostly male, with coronary heart disease risk factors. angina occurs mainly in the exercise or emotional process, the pain than the fixed duration of not more than 15 minutes, including nitroglycerin often can be alleviated. New front area of ​​this disease and angina pain is sometimes difficult to identify. If necessary, can be used for exercise ECG, thallium-201 myocardial imaging and other tests, but also for coronary angiography. 2, hyperthyroidism have goiter, bruit, hands trembling, exophthalmos, weight loss, such as performance, serum T3, T4 general diagnosis can be made. 3, myocarditis myocarditis often chest tightness, tachycardia, and ecg ST-T wave changes, and the disease is not easy to identify. However, before the onset of myocarditis is usually clear the infection (viral or bacterial) history), the typical manifestations of cardiac enlargement, reduced heart sounds, gallop, ecg PR interval prolongation, echocardiography may be determined to function reduced ventricle and so on. 4, others such as mitral valve prolapse syndrome, pheochromocytoma, and so on, according to the characteristics of these diseases is usually not difficult to identify.

physical examination, supplemented by blood gas analysis can be diagnosed.

found in the circulation of cardiac neurosis, also known as debilitating neurological disease. Heart without organic changes, clinical symptoms and neurasthenia of heart-based, mainly breathing difficulties (often accompanied by a sigh of breathing), palpitations, fatigue, chest pain, dizziness and other symptoms, fatigue or mental stress than in after the occurrence or increased. Sounds Benbingfasheng mainly central nervous system and autonomic imbalance caused by cardiovascular dysfunction results. Based on the above diagnosis of the disease symptoms, coupled with other aspects of physical performance of neurosis, but nor organic heart disease, may be considered disease-based, but must be careful. treatment of this disease focuses on psychological treatment, to eliminate incentives to arrange a suitable physical and sports, and be stable and sedatives.

[Disease]

sighing breathing-related diseases

elderly respiratory acidosis of severe acute respiratory syndrome in children with respiratory muscle fatigue lung failure sleep apnea syndrome sleep apnea syndrome elderly elderly respiratory failure severe acute respiratory syndrome respiratory bronchiolitis interstitial lung disease elderly patients with acute respiratory distress syndrome, drug-induced respiratory failure in obstructive sleep apnea syndrome, cardiac neurosis in children with acute respiratory distress syndrome, myocarditis, respiratory syncytial virus infection

more chest symptoms

"multi-temperament "heart sounds" butterfly "shadow co2 retention pas staining large abnormal qrs wave QT interval prolongation t wave flat or inverted one hundred specific symptoms of valve thickening and valve leaflet thickening after satiation chest crackles gallop heart sounds pathological allergic cough Q wave of atypical chest pain is not completely block the room side rib pain, unstable angina stitch

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