Differential diagnosis and treating _'s treatment of tricuspid stenosis

Differential diagnosis and treating _'s treatment of tricuspid stenosis
Differential diagnosis
1,Atrial septal defect divide the intersection of flow and large atrial septal defect into can hear very brief relaxation middle period in the intersection of tricuspid valve and district " Roar " Kinds of noise, but the intersection of artery and petals of district second sound hyperfunction with the intersection of systolic phase and noise and lung among the the intersection of brestbone and left the intersection of reason and the second and the third rib at the same time. Pursue to be able to be made a definite diagnosis of in the supersound aroused in interest.
2,One kind of noises that the low-key one roars of later period in relaxation in the apex of the heart of mitral stenosis district, present the increasing progressively type, limitation, obvious while lying on the left side in the location, has not changed or weakened while inhaling, can tremble with the relaxation one. Can present lung artery ing, a second sound is hyperfunction and split. Hear among the intersection of brestbone and left the intersection of reason and 2- 4 rib and Graham-Settll noise. The serious mitral stenosis patient can present the flush bicuspid valve face of two cheekbones. The supersound aroused in interest is pursued and can be diagnosed clearly.
Treat
First, treatment of internal medicine department restrain sodium salt from taking in strictly, employ diuretic and can improve symptom and physical sign of extravasated blood of the systemic circulation, especially lighten liver extravasated blood, improve liver function; Control ventricle rate with digoxin when the room is quiver.
Second, surgery treatment if symptom is obvious, the average diastolic pressure Damien 0.53- 0.67kPa (4- 5mmHg) of right ventricle ,When being smaller than 1.5- 2.0cm2 with a area of tricuspid valve, can make tricuspid valves and separate the skill or expand shaping skill of the valve by the ball bag, it is feasible for artificial valve to replace skill, you had better take the intersection of living beings and petal also.
Prognosis
The prognosis of tricuspid stenosis is closely related to narrow intensity, the narrow slightly one can have no symptom for a long time, severe the narrow one presents symptom early, prognostic difference.
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