Tricuspid stenosis and closing the treatment not complete to choose _'s treatment

Tricuspid stenosis and closing the treatment not complete to choose _'s treatment
1.Main clinical feature:TS is mostly because of rheumatism, amalgamate more TRs, it is (such as MS) that the patient damage with other valves more . Its pathology changes and is similar to MS. The relaxation one presses difference gt averagely across the tricuspid valve; 2mmHg can diagnose TS, gt; 5mmHg can cause whole body vein congested, sport, inhale deeply, fast fluid infusion or use atropine can make, should press difference, increase. Patient clinical manifestation, for being weak, the intersection of belly and swelling, the intersection of liver and old and the intersection of whole body and edema. TR is because of right rooms more to expand and expand with the tricuspid valve ring, it is various depleted amalgamation of right room. Mainly shown as and had illness coming on symptom and depleted symptom of the right heart originally.
2.The treatment is chosen:The treating for the surgery at all of TS, but limit absorption and use diuretic of the salt and can lighten symptom of water and sodium retention strictly. If amalgamate other valve pathological changes, generally correct other valves to damage, needn't correct TS simply; If relaxation one presses difference gt across tricuspid valve; 5mmHg, area lt once of tricuspid valve; 2.0cm2, is expert at the repair technique of bicuspid valve or replaced the skill to repair the tricuspid valve at the same time, adopt direct-view to separate the skill more; Separate skill, can't resume the intersection of tricuspid valve and normal function, do only valve replace. Had better choose big pig living beings one. The person who amalgamates MS can implement shaping skill of the sacculus valve to TS when being expert at the shaping skill of the bicuspid valve sacculus.
Light intermediate TR and the valve shape is normal, do not need surgery to treat; And severe TR change with the shape ' Due to rheumatism) When last skill valve or shorten into at ring shape skill; Must consider the valve and replace the skill when the serious organic change takes place in the valve shape. Lung artery systolic pressure lt; 60mmHg person should not perform the operation. Because the thrombus incidence is high, so should choose the living beings one.
In the infective heart of tricuspid valve membrane inflammation ' See to person who sucks heroin) The treatment is comparatively thorny, for instance, antibiotic fails to respond to any medical treatment, the valve is replaced can cause and infect again. Can go ahead of the rest valve excise, then continue the intersection of antibiotic and treatment, valve excise infect, walk control, living beings one replace skill month by 6- 9.
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