Symptom and _'s symptom of physical sign of tricuspid stenosis

Symptom and _'s symptom of physical sign of tricuspid stenosis
The overwhelming majority of tricuspid stenosis is caused by rheumatic fever, similar to mitral stenosis, the pathology of rheumatism tricuspid stenosis can see the chorde tendinae to merge and shorten while changing, the peak of a leaf merges, form a diaphragm one kind of holes.
1.Symptom
( 1) Simple tricuspid stenosis can cause the atrium dextrum to be depleted to present the extravasated blood sign of the systemic circulation.
Tired: Reduce through a blood flow volume of tricuspid valve, cause the heart to arrange blood volume to reduce and have something to do.
The shank has beating uncomfortable senses: It is the neck vein that obviously beats.
Gastrointestinal extravasated blood: Cause stomach losing the appetite, disgusting, vomiting or belch,etc..
( 2) Tricuspid stenosis and bicuspid valve pathological change are while existing at the same time: The existence of tricuspid stenosis can lighten lung extravasated blood and symptom that the mitral stenosis caused. Have difficulty in breathing as mitral stenosis of storing in ' Labour or night popping dyspnea) When being non- obvious, briefing on has compatible possibility of tricuspid stenosis.
2.Physical sign
( 1) The heart voiced sound circle shifts right.
( 2) Some patients can touch the relaxation one thinly to vibrate in the tricuspid valve district.
( 3) Auscultation:
A noise of relaxation in the tricuspid valve district: Hear one the intersection of sonority and weak, low frequency in the soft relaxation, roar kinds of noise later period among the intersection of brestbone and left the intersection of reason and 4, 5 rib, can't strengthen obviously before systolic phase. Noise inhale deeply the end strengthen, claim Carvallo solicit, because vein go back right the intersection of energies and quantity increase inhale, tricuspid valve blood flow once speed and blood flow volume caused through being narrow increase. The mitral stenosis noise is not strengthened while inhaling, but is exhaling deeply the end is being strengthenedding, it is the lung that recycles quantity to the left energies and increases.
The tricuspid valve district can hear the tricuspid valve and hold a sound: 0.04- 0.06s, strengthens while inhaling after S2.
Very hyperfunction in the district S1 of tricuspid valve: When it is reduced that obvious calcification of valve or activity degree is apparent, S1 is not hyperfunction.
( 4) The enormous intravenous a wave of neck: It is the atrium dextrum, to due to strong shrink that the narrow tricuspid valve produces at the time of sinus rhythm of the heart; Take care the neck vein reveals the obvious V wave when the room quivers. When artery high pressure and right ventricle of serious lung are plump, because the complying with of the right ventricle is reduced, make the reflux of atrium dextrum full of resistance to increase to the blood flow of the right ventricle, and cause the intravenous a wave of neck to increase. Not so plump as right room on clinic and there are enormous neck intravenous wave a waves, it is the characteristic physical sign of tricuspid stenosis.
( 5) The intravenous anger one of neck: Liver swelling, liver the intersection of neck and reflux test masculine gender, lower extremities edema, have around the intersection of and cyanosis.
( 6) Rheumatism tricuspid stenosis hour: As damaging with a plurality of valve, it can bicuspid more valve at the same time and (or) The aorta is a noise.
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