Friday, November 19, 2010

Keshan disease

Keshan disease is a kind of cardiomyopathy based systemic endemic disease, found in 1953 in Keshan County in Heilongjiang Province, hence the name. The disease in Heilongjiang, Jilin, Hebei, Shaanxi, Gansu Province and Inner Mongolia Autonomous Region is also popular in many villages.

Jihuan under the onset of the disease, the length of the course and the presence or absence of symptoms, divided into acute type, TB type (slow type) and latent. The clinical presentation often chest tightness, heart palpitations discomfort, nausea, frequent vomiting, shortness of breath, swelling and other symptoms, fraudulent claims can have acute cardiogenic syncope and convulsions. As early as the food and vomit mucus, bile was after, it is often referred to in the civil and the disease as a "spit yellow water disease." Medical examination often shows dark complexion, limbs Jueleng, weak pulse, low body temperature, blood pressure, heart weight sector is increased and low heart sounds weak, apex a systolic murmur grade I-II, when diastolic gallop law. Department of arrhythmia and more premature ventricular contractions, ventricular tachycardia or atrioventricular block. Lungs may have dry, moist rales, hepatomegaly is also visible.

Etiology of this disease still unknown, it seems with the soil (including food) in the abnormal levels of certain elements. Also a cause of infection.

Diagnosis is based on the disease, there are a variety of myocarditis signs of myocardial damage after one, but can be other causes other than heart attack. In non-endemic areas of Keshan disease endemic areas should consider the possibility of this disease.

Treatment of this disease is mainly symptomatic treatment. Such as anti-shock, anti-heart failure, anti-arrhythmia and the application of vitamin C, while the rest was a quiet first.

Keshan disease in medicine is not specifically discussed. According to the sudden onset of the disease characteristics and clinical symptoms of typhoid fever are often considered as insidious, Shao Yu containment in the Haner, heart yang weak spleen yang is not up to the limbs, fraudulent claims directly in the heart of pathogenic cold, hair loss yang violence as syncope, seizures, heart palpitations. It can also refer to "heart palpitations" and "Mind of labor" for theory of governance, bad storm into the heart yang, timid strain, timid evil volts and so on.

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