The treatment of tricuspid stenosis _ general knowledge of the symptom

The treatment of tricuspid stenosis, _ general knowledge of the symptom
Therapeutic method of tricuspid stenosis
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- 2.0cm 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.
Symptom behaves
(1) SymptomTricuspid stenosis due to low heart arrange blood volume, cause tired, 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 the intravenous enormous " a " wave that beat of neck, 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.Heart auscultationThe noise of roaring in the later period in a kind of relaxation in a low-key attitude of left bottom flange of brestbone, strengthen before systolic phase. Erect 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.Other physical signTricuspid stenosis 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.
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