Draw back narrow _'s general knowledge of physical sign of pericardium inflammation

Draw back narrow _'s general knowledge of physical sign of pericardium inflammation
The pericardium contracts narrowly and forms in one year after acute pericarditis, minority can be as long as several years. Common symptom, in order to have difficulty in breathing, be tired, lose the appetite, have abdominal distension or pain; Have difficulty in breathing as the labour, mainly relate to reducing in heartbeat amount. Physical sign has neck intravenous anger one, big and increasing fast at ascites, lower extremities edema, heart rate liver. It is obvious Kussmaul solicits. Patient ascites skin lay edema appear early and obviously much relatively often, this and generally in heart failure to hit finding person to be opposite. The mechanism that these kind of phenomenon produces has not yet definite, may contract with the part of the pericardium narrowly and involve the intravenous reflux of liver and relate to rising continuously for a long time in venous pressure. The heart physical examination can be found. The apex of the heart can not fluctuate obviously, the heart voiced sound circle does not increase, the heart sound is lowered, usually have no noise, can hear and pericardium knock hit transliteration; The latter is an extra heart sound, take place after second sound for 0.09- 0.12 seconds, present and strike and hit properties, it is the intersection of relaxation and issue that full of the intersection of blood flow and the intersection of sound and pericardium, contract narrow and obstruct and cause the intersection of ventricle and wall shake suddenly. Rhythm of the heart is generally a sinus, there can be atriums sometimes to quiver. Pulse is thin and delicate and unable, the systolic pressure of artery is reduced, the pulse pressure is diminished.
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