Draw back symptom and _ symptom of the narrow pericarditis

Draw back symptom and _ symptom of the narrow pericarditis
Symptom describes and clinical manifestation:
Draw back narrow pericarditis and mean the heart is surrounded by the dense and thick fiber pericardium, make the heart relaxation one full of limitedly and producing a series of clinical sign of circulating the obstacle.
Clinical manifestation:
Contract getting narrow the intersection of pericarditis and most case get up disease hide, too can happen in 1-3 months such as acute pericarditis, have increased the acute therapeutic difficulties of pericarditis.
1,Symptom
Labour have difficulty in breathing as contract getting narrow most early symptom of pericarditis, because heart rank blood volume to be relatively fixed, can't increase correspondingly while moving about. Later stage but because a large number of the intersection of chest and water, ascites make the intersection of diaphragm and lift and lung extravasated blood at the skin, happen, have difficulty in breathing and with cough, expectoration, even sit up straight and breathe too have a rest. Because heart displacement reduce and a large amount of belly water pressure compel internal organs or liver splenomegaly in the belly, the patient can present chronic sickly look, weak and feeble, the weight is lightened, receive difference, swelling and pain of upper abdomen,etc..
2,Physical sign
The intravenous anger one of neck is to draw back a narrow one of the most important physical sign of pericarditis. The neck vein is more plentiful that Kussmaul was solicited while inhaling promptly, the neck expanded is intravenous to collapse in heart relaxation suddenly. The liver is always big, ascites and lower extremities edema are the common physical sign. Heart displacement reduces to make the systolic pressure of pulse reduce, reflectivity causes arteriolar convulsion around to make the diastolic pressure rise to make the pulse pressure diminish, pulse is thin and delicate and unable. Because the stiff pericardium is free of pressure in the chest, minority have pericardiums to accumulate a liquid patient and find strange pulse to amalgamate. The heart voiced sound circle increases normally and slightly, most patients have apexes of the heart of systolic phase to beat, can hear among the intersection of brestbone and left the intersection of reason and 3-4 rib and the intersection of relaxation and early period extra sound, pericardium knock hit transliteration, 0.09-0.12s usually takes place after the second sound, present and strike hitting kind. Heart rate very fast, sometimes can appear the intersection of atrium and quiver, the intersection of atrium and the intersection of person who flutter and unusual rhythm, relate to the fact that the pericardium calcification is expanded with the atrium, it is relatively bad to point out the prognosis.
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