The checking of tricuspid stenosis treats _'s treatment

The checking of tricuspid stenosis treats _'s treatment
Check
(1) The atrium dextrum of X-ray examination is obviously expanded, lower vena cavas and azygos veins are expanded, but there is not lung arteriectasis.
(2) It is loose to check the atrium dextrum the electrocardiogram, 2 and 1 lead and unite P wave high and sharp; Amalgamate mitral stenosis at the same time because of most tricuspid stenosis patients, so the electrocardiogram also often shows one pair of atriums loosely. There is no manifestation of right ventricular hypertrophy.
(3) What the supersound aroused in interest is observed while pursuing to check change and mitral stenosis of the tricuspid valve is similar, M -type supersound pursue, reveal petals of leaf increase thick, the intersection of EF and slope of frontal lobe slow down, the intersection of relaxation and with separate one, take the form of contradictory sport, the intersection of tricuspid valve and calcification and increase thick issue often while being aroused in interest; Two-dimentional supersound aroused in interest to pursue to diagnose relatively helpful tricuspid stenosis, its characteristic is that a leaf of relaxation takes the form of the garden and carries the form, increase thick, a leaf is movable and limited. Doppler can estimate and examine and step a pressure rank badly in supersound.
Differential diagnosis
Expand according to typical noise, atrium dextrum and symptom and physical sign of systemic circulation extravasated blood, can generally make diagnosis, the feasible right heart conduit inspection of the person who has difficulty on diagnosing, if the tricuspid valve steps difference of a diastolic pressure in 0.27kPa(2mmHg) equally The above, can diagnose as tricuspid stenosis. Should pay attention to diseases such as narrow pericarditis,etc. with the right room mucus tumour, contract to distinguish.
Treat
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; 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.
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