Differential diagnosis and complication and _'s symptom of tricuspid stenosis

Differential diagnosis and complication and _'s symptom of tricuspid stenosis
With what diseases to obscure tricuspid stenosis is easy?
The differentiation of this disease and other important diseases is as follows:
( 1) Atrium dextrum mucus tumour, when blocking a hole in tumour, can also cause the clinical manifestation of tricuspid stenosis, but the medical history is short, the course of disease develops fast, pursue to have the unique vaporific picture of cloud in the supersound aroused in interest, can be distinguished.
( 2) The main symptom of tricuspid stenosis is caused by gastrointestinal tract and stagnation of the blood of liver spleen, such as discomfort, losing the appetite, indigestion and abdominal distension in the liver district,etc.. With weak and four limbs edema sometimes. Simple tricuspid stenosis, there are many and non- obvious heart and lungs symptoms, with the patient of the mitral stenosis, also because right ventricle blood flow volume is reduced, heart and lungs symptom is lighter than simple mitral stenosis person.
( 3) Slight cyanosis of cheek of visual surface of physical examination and jaundice (the stagnation of the blood of chronic liver cause) . The intravenous anger one of neck, even beat. Hepatomegaly, the quality is relatively hard, touch a tender spot, can lay one's hand on to beat before systolic phase sometimes. The person who has ascites, the belly swells, there are voiced sounds of mobility. When the heart is checked, the heart voiced sound circle expands to the right side. The first sound of tricuspid valve district is hyperfunction, can pat and hit the sound open after the second sound. Can hear a cylinder and one kind of noises of relaxation before systolic phase among the 4th rib of left reason of brestbone, can touch and tremble sometimes. While inhaling deeply, because thorax negative pressure increases, the blood flow volume of atrium dextrum increases, the noise is obviously strengthened, can distinguish with the mitral stenosis.
What diseases can tricuspid stenosis be erupted simultaneously?
Tricuspid stenosis consequence of rheumatic fever all nearly, erupt simultaneously have mitral stenosis with, or * aortas and a pathological change. Like mitral stenosis, rheumatism the intersection of tricuspid stenosis and patient shut off with at various degrees tricuspid valve the whole often. The tricuspid stenosis patient's atrium dextrum is obviously expanded, the right room wall is increased thick, and there is serious whole body extravasated blood, the liver, spleen are swelling. Tricuspid stenosis nearly always exists with a pathological change of bicuspid valve or aorta at the same time, this kind that situation indicate patient rheumatism inflammation than have bicuspid valve pathological change only and (or) A pathological change person of the aorta is more serious and more extensive. So prognosis generally abominable, carry on the intersection of surgery and treatment for instance, patient finally can die from the intersection of right heart and depleted, the intersection of lung and infarction or pulmonary embolism,etc. of person who go on. Simple tricuspid stenosis is extremely rare, patients do not hesitate to have obvious venous system extravasated blood, but there is not symptom one that can last a lot of years.
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