What _'s symptoms does the clinical manifestation of tricuspid stenosis have

What _'s symptoms does the clinical manifestation of tricuspid stenosis have
Tricuspid stenosis (tricuspidstenosis) Rare on clinic, and the most for rheumatism membrane inflammation in the heart one and then offer as a gift and damage, often amalgamate a pathological change of bicuspid valve or aorta, simple tricuspid stenosis is rare. See more women, the overwhelming majority is caused by rheumatic fever, but rheumatism single tricuspid stenosis is extremely rare. As sequela of rheumatic fever, it is similar to mitral stenosis that pathology is changed, namely valve fiber take, increase thick, edge have superfluous living beings grow, three the intersection of valve and mutual adhesion or merge, form the narrow holes of triangle. Pathological change can also prolong and chorde tendinae and papilla skin. But intensity and range of tricuspid valve pathological change are lighter than bicuspid valve, it is rare to merge under the valve, and seldom there is calcium that is deposited. Narrow after taking shape, the obstacle happens when the blood flow flows into the right ventricle from the atrium dextrum, therefore the atrium dextrum is expanded, the pressure rises. Because of the reflux blockage of vena cava, venous pressure is raised for a long time, signs such as intravenous anger one of neck, hepatomegaly, ascites and four limbs edema,etc. appear. The right ventricle withers because of reducing in blood flow volume. When with bicuspid valve pathological change, the right ventricle is very plump.
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.
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