Continue the taking place lung artery and check _'s symptom under high pressure
Cure the skill inspection
1.The blood is checked to include liver function test and HIV antibody test and serology are checked, liver cirrhosis, desmosis that HIV is infected with and hides except Israel.
2.Electrocardiogram: The electrocardiogram can't reflect directly the lung arterial pressure rises, can only play a role in pointing out the right heart and increasing or plump.
3.The X-ray examination of chest: Brief on X-ray sign of artery high pressure of the lung.
4.Ultrasonic heart cardon and Doppler's supersound are checked: Can reflect artery high pressure of lung and relevant manifestation.
5.The lung function is determined: Can have, keep in touch with obstacle and the intersection of disperse and function, lower while being restricted slightly, some in weight the intersection of disease and patient can present residual volume increase and maximum person who keep in touch with reduce.
6.The analysis of vim and vigour: Almost all the patients have respiratory alkalosis. The partial pressure of oxygen of early blood can be normal, most patients have light, intermediate hypoxemia diseases, keep in touch with getting out-of-balance in proportion in blood flow, severe the intersection of hypoxemia and disease drop, amalgamate the intersection of lung and the intersection of artery and thrombus or oval hole, open with the intersection of heart and person who discharge relevantly perhaps.
7.Radioactive nuclide: It is the important means to get rid of chronic thromboembolism artery high pressure of lung that the lung is kept in touch with poured into and scanned. PPH patient can present the filling the air sparsely or basically normally.
8.The conduit skill of right heart: Can determine the only method of the lung blood vessel blood flow dynamics state accurately. The blood flow dynamics diagnostic standard of the artery high pressure of primary lung stops PAPmgt for being quiet; 20mmHg, or sports PAPmgt; 30mmHg, PAWP is normal (l2- 15mmHg at the time of quiet interest) .
9.Lung live examine, examine for primary the intersection of lung and the intersection of artery and patient of high pressure planning, lung live examine significant benefit, but should prevent the lung from being living and examine the skill to the patient that the heart function is bad. Live, should pay attention to, draw materials, deepen lcm in the lung examine, lung organization should greater than 2.5cm the intersection of * l.5cm and * 1.0cm.
|
0 comments:
Post a Comment