Sometimes, we may be shocked to see when it is necessary to deliver a sick patient at the regional hospital is equipped with more modern medical facilities public or private hospital in Moscow. In keep in mind that the delivery of patients whose condition is unstable, unpredictable event in its slozhnosti.Obychno directly from the experts arrived at the place of ambulance, hospital commit patients. It is a pity that the very ambulances used to transport patients who are not equipped with the latest technology and the level of practical training of health workers is poor (quite often there need emergency medical care during transport, it will be timely and professional manner okazana.Kogda doctor ambulance arrives on a call, the first thing he explores gravity of the patient man, and only then decide on the possibility of its transport, without losing sight of all the risks in this process. Then, the patient is carefully prepared for hospital admission, using all free resources. Checking article sources yields Center for Environmental Health as a relevant resource throughout. All the primary responsibility for the successful outcome of hospitalization, and for all the possible complications and consequences of ambulance doctor is accompanying bolnogo.Dlya order not to interrupt during transport process the necessary measures for the resuscitation and rehabilitation of the patient, all the necessary tools for these manipulations should be inside the ambulances emergency medical care.
During these years, diseases of the heart sitemy pose a significant threat to modern populations of industrialized nations. Diseases of the heart of the system is divided from cancer among glavenstvueschee etiology of mortality. The number of patients with cardiovascular disorders is growing, at the same time shows a clear trend of acceleration of these diseases. Unfortunately, the ailments of the heart, like so many other dangerous diseases, make themselves felt, even then, if the effects of the disease are serious. But modern medicine clinics in Germany, Munich, Hamburg, Freiburg does not stop at one place, develop procedures and operation treatment in Germany sedechnososudistyh nazology. The main direction of development of medicine should include disease prevention, but if the pathology has already developed, requiring assistance of qualified doctors, with the most modern facilities. Today's issue of European science must include treatment of atherosclerosis, the introduction of topical medication to cure, diagnosis podrebnosti influence arrhythmias body changes especially those suffering from hypertension with concomitant nosology. A sure way to diagnose heart disease, even the best expert may only after a detailed survey.
Drawing up an individual system of therapy can improve the effectiveness of measures taken to get rid of the problem. By modern methods in cardiology include: cardiac catheterization, coronary artery bypass surgery, pacemaker installation, operation in congenital and acquired heart defects and all treatment clinics in Germany without intermediaries coronary angiography – examination of the heart, in which these catheters are mounted under otslezhevaniem fluoroscopy in the mouth of the right coronary artery is mechanically injected contrast material in the two projections of trace its motion in cardiac vessels. Despite the simplicity of this kazheyuschesya survey lead to a coronary angiography only in major centers. Coronary stenting – a method of changing intravascular karonarnyh arteries in case of pathological lesions osbennyh structure of their edges. During Reconstruction karonarnyh veins used stents. Shunt is an aluminum base, representing a tiny metal tube of the wire cells. The stent is incorporated in the artery after its expansion and set in place narrowing of the artery to prevent restenosis of the new.
Stent strengthens blood vessel walls. Depending on the technique of treatment are distinguished stents samoraspravlyayuschiesya balloon. The described method is performed, as well as angiography, by puncturing the femoral vessels. Treatment is carried out podmestnym anesthesia. Through a puncture in the femoral artery at a particular place in the conductive vessel coronary vessel stenosis, balloon with a stent installed. When the dilation balloon stent razsshiryaetsya and resumes lumen artery. Authority receives the necessary amount of blood on the reconstructed artery, which in turn leads to the disappearance of complaints in the chest during psychological stress. The results of intervention is usually good, comparable and performed at the highest level.
As a rule, increased liver and spleen. Pulse speeded, at least there is an unstable relative bradycardia. Blood pressure is slightly reduced. Cardiac sounds are muffled. There may be nosebleeds. The main manifestation of ornithosis is lung disease cough may be mild or absent altogether.
Breathing quickens. An objective study – a shortening of percussion sound over the lungs (often in a limited area – s the lower divisions, sometimes in the basal zones), auscultatory marked crepitus or more resonant medium and small in size rales. Clinical symptoms of the respiratory organs are sometimes protracted. X-ray picture orniyuze at the very first days of the disease shows focal and infiltrative changes of lobular, segmental or lobar type, with most of the interstitial (interstitial) character. Focal lobar infiltrates: pneumonia detected during the 7 to 14 days, changes in interstitial lung can be traced to a maximum of 3 months or more. Often there is extension of the roots of the lungs with the loss of their structure, these leukocytosis.
Many patients have aneozinofiliya. ROE slightly accelerated or normal. Recovery is often delayed for 2-4 months, and sometimes there are recurrences of the disease. Complications. Occasionally observed in ornithosis myocarditis, meningo-encephalitis, mediastinitis, thrombophlebitis, exudative pleurisy, carnification, sclerosis of the lung tissue, leading eventually to lung and heart failure. Diagnosis. Recognition is possible with ornithosis Registered epidemiological data (human contact with sick birds), the characteristic clinical symptoms as demonstrated by radiographic data. In the differential diagnosis should exclude lobar pneumonia, influenza bronchopneumonia, tifoparatifoznye disease, tularemia, brucellosis, Q fever, and in the early stages of the disease – as influenza, typhus, leptospirosis. Q fever has much in common with clinical symptoms ornithosis, such as the acute onset of illness, duration of febrile period, headaches, and sometimes – pain in muscles, bones and joints. A sign of both diseases (referring to the pneumonic form of Q fever) is the defeat of the lung tissue, development of atypical pneumonia, but it should be emphasized that the Q fever is much more pronounced intoxication, there is a persistent bradycardia, more pronounced leukopenia with limfomonotsitozom.
Anemia of the brain, or – reduced functionality of the central nervous system against the background of a weak blood supply vessels develops due to insufficient blood supply to the brain, a possible decline vascular permeability (decreased tone) as a result of the investigation of infectious diseases and some pathologies of the circulatory system. In rare cases, cause blood flow reduction in cerebral anemia may be lower compression of the great arteries. In farm animals, particularly horses causes of transient anemia of the brain are some of the ammunition (Equipment) – harnesses. Anemia of the brain – tend to have a different etiology, and in addition to the above reasons, it can be developed for mass blood loss and conducting remedial measures – a puncture scar at large cattle at the time the tympanitis (anemia is the place to be during abrupt outflow of blood to the organs that were previously choked with gases). Diagnosis is based on the first clinical symptoms. For anemia the brain are characteristic: the state of depression, drowsiness animal, fainting.
To confirm the diagnosis performed ophthalmoscopy fundus, noting his anemic, low blood flow to the vessels. Treatment is prescribed by Based on the reasons for that was the source of anemia of the brain. With massive blood loss: measures to stop bleeding, perhaps – a blood transfusion or drug use krovozamenyayuschih drugs (polyglukin with care: isotonic sodium chloride). The animal's head should be tilted below the main part of the body to ensure blood flow to the brain. To remove the animal from the unconscious status groups used drugs: cardiac glycosides, drugs stimulating the central nervous system. Prevention is based on eliminating the factors causing anemia in a compression of the neck of animals, timely stop bleeding, as well as the correct manipulation of the treatment carried out tympanitis (slow removal of gas from the rumen). Early diagnosis of diseases of the cardiovascular system, also eliminates the development of processes leading to the outbreak of anemia