Sunday, April 28, 2013

Draw back narrow pericarditis and diagnose that checks _'s treatment

Draw back narrow pericarditis and diagnose that checks _'s treatment
1,Check in the laboratory It is normal in size that X-ray examination shows the heart shadow, left and right heart reason becomes straight, the arch of aorta is small or unrecognizable; The superior vena cava is often expanded, can see the pericardium calcification sometimes; It is low and flat or inverts that there are QRS low-voltage, T wave in the electrocardiogram. Aroused in interest to pursue to contract getting narrow the intersection of diagnosis and far than accumulate liquid to pericardium value of pericarditis supersound as low. Can see the pericardium and increase the thick, room wall activity to weaken etc. at the time of the ultrasonic inspection, but non- peculiar and invariable sign. The characteristic manifestation that the right heart conduit checks is the capillary pressure of lung, the relaxation pressure of lung artery, the pressure, pressure of atrium dextrum in latter stage of relaxation of right ventricle rise and the same and high-level; The right auricular pressure curve takes the form of M or W wave, the systolic pressure of right ventricle rises slightly, taking the form of relaxation sinks the shape curve of plateau in early period. 2,Diagnosis It is getting narrow for model to contract pericarditis check, diagnose difficult according to clinical manifestation and laboratory. Often need liver cirrhosis, congestive and in heart failure of public opinion on clinic and tuberculosis peritonitis is distinguished. Clinical manifestation sum blood flow dynamics of the restraining from myocardium disease changes and a disease is very similar, the two distinguish that may be very difficult, need to live and examine through the cardiac muscle of membrane in the heart if necessary to diagnose.
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