Clinical manifestation _ symptom of tricuspid stenosis

Clinical manifestation _ symptom of tricuspid stenosis
(1) It is tired that it is caused that the low heart due to symptom and tricuspid stenosis arranges blood volume, body intravenous blood stasis can cause getting obstinate edema, the intersection of liver and the intersection of swelling, ascites,etc. and the intersection of digestive tract and symptom and whole body uncomfortable sense, because neck intravenous enormous " a " that beats The wave, there is sense of beating to make patients feel the shank. Though patient amalgamate have mitral stenosis at the same time often, clinical symptom of mitral stenosis and acute lung edema rare such as spit blood, not popping to have difficulty in breathing night. If the patient has physical sign of obvious mitral stenosis and not has at the time of congested clinical manifestation of lung, should consider that may amalgamate tricuspid stenosis at the same time.
(2) Physical sign
1.Noise of roaring in the later period in a kind of relaxation in a low-key attitude of left bottom flange of brestbone of heart auscultation, strengthen before systolic phase. Upright location noise strengthen inhale, or the intersection of Valsalva and movement hold one's breath issues of noise subside exhale. Can accompany the intersection of relaxation and issue tremble, can have, turn on one make, hit transliteration. A second sound of lung artery is normal or weakens. The rheumatism person often accompanies the mitral stenosis, the latter often conceals the physical sign of a disease.
2.Tricuspid stenosis of other physical sign often has physical sign of extravasated blood of obvious right heart, such as the neck vein is full of, have obvious " a " The wave, strengthen while exhaling. There can be hepatomegaly in the case in later period, splenomegaly, jaundice, malnutritive seriously, the full-length edema and ascites. The swelling liver can be presented and beaten before obvious systolic phase.
|