Wednesday, August 22, 2012

The tricuspid valve returns to clinical manifestation _ symptom flowing

The tricuspid valve returns to clinical manifestation _ symptom flowing
It relates to the fact that the valve close the intensity not complete that the tricuspid valve closes symptom and physical sign not complete. Close and does not have clinically subtly completely slightly. Can have tired, the intersection of stomach and receive well, bloated pain, the intersection of belly and swelling and lower extremities edema,etc., district of liver, while being getting serious.
Typical physical sign is: Neck intravenous the intersection of anger and companion Zhang beat; And hepatomegaly can be laid one's hand on and beaten; And the whole systolic phase among the 4th rib of left reason of brestbone dries one kind of noises, the end of inhaling of the noise deeply is strengthened (Carvallo is being solicited) . Typical physical sign can be scarce in the serious tricuspid valve returns to the patient flowing like. If the long-term stagnation of the blood of liver is caused and hardened, no longer beat instead; Behind right heart the intersection of capacity and load culminate, noise inhale and strengthen at the same time no longer, so Carvallo solicits can be with the feminine gender.
X-ray photo show atrium dextrum and right ventricular hypertrophy, heart right reason protruding, half have other the intersection of valve and change that pathological change lead to the fact at the same time. The electricity of heart illustrationally shows the atrium is loose, P wave is high and wide; And there is right bunch that props up block or right ventricular hypertrophy, even the cardiac muscle strains. Often there is a atrium that quivers.
Ultrasonic heart cardon and Doppler are checked: The supersound of tangent plane can survey the size of the tricuspid valve ring, understand increasing the thick situation of the valve, contribute to dividing one and distinguishing relativity and organic disease. The tricuspid valve can not be closed full-timely, the ultrasonic radiography can be seen little bubbles and travel to and fro between the tricuspid valve; Doppler can monitor the right room directly and go to the unusual signal of the right room, and can estimate that return to the intensity flowing.
The heart conduit checks and displays V wave in the form of wave of pressure of atrium dextrum to stress, y becomes steep to prop up to lower, more obvious while inhaling. The wave form of the pressure of atrium dextrum is similar to wave form of the pressure of right ventricle, only the amplitude is relatively small, the right room called right room is pressed, reflect that the severe tricuspid valve returns to flowing.
The radiography of cardiovascular vessel is checked: Right the intersection of room and radiography, oblique the intersection of location and film photograph, can reveal tricuspid valve return to shedding and intensity in front of the right. But because the heart conduit strides the tricuspid valve, potential and false and positive.
The tricuspid valve closes the diagnosis not complete, should include to the understanding closing the not complete intensity. Typical clinical physical sign has certain value on diagnosing. Used radiography of right ventricle as and diagnosed the suspicious case and estimated that returned to the means of degree of the procedure in the past. In recent years, supersound and Doppler are checked and already checked in place of the wound gradually.
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