It causes the lung artery one not to close completely _'s general knowledge to sketch wind worry

It causes the lung artery one not to close completely _'s general knowledge to sketch wind worry
Rheumatic heart disease is abbreviated as wind worry, it is the rheumatism valve due to inflammatory course that is damaged, mainly involve the crowd under the age of 40. It was 1.9 - 2.9 that the ill rate of the crowd of wind worry of our country grew up in the 1970s, children were 0.4 - 2.7 , it was 1.99 and 0.25 respectively in the eighties, had already dropped to some extent. But wind worry is still one of the common heart disease in our country. The valve calcification of a kind of sex change and the elderly of mucus of valve increases in our country day by day.
The physical sign of symptom:
The clinic that most cases have illness coming on originally does very well, the lung artery one closes manifestation not complete and is concealed, only find on auscultation once in a while. Physical sign is as follows:
First, blood vessel and heartbeat Brestbone lay one's hand on among the left the intersection of reason and the second rib and the intersection of lung and artery systolic phase beat, can accompany and shrink or relaxation one tremble. Lay one's hand on by the intersection of brestbone and left bottom flange and right ventricle high power systolic phase beats.
Second, heart sound Lung artery, at the high pressure, second sound the intersection of lung and the intersection of artery and a composition strengthen. The heart undulate quantity of right ventricle increases, penetrates the time of blood to lengthen, the second sound is presented widely and split. The right heartbeat amount increases to make the lung artery already expanded expand and produce systolic phase to spray the sound suddenly, the most obvious among the second rib of left reason of brestbone. Often have third and fourth sound among the 4th rib of left reason of brestbone, strengthen while inhaling.
Third, heart murmur Continue, send on the intersection of lung and the intersection of artery and high pressure person, relaxation that begin immediately sigh kinds of the intersection of lofty tone and decreasing type noise early period have second sound among the intersection of brestbone and left the intersection of reason and 2- 4 rib, strengthen while inhaling, is called Graham Steell noise. Tion of reason and the second rib, have the intersection of systolic phase and the intersection of injection nature and noise spray sound, among the intersection of brestbone and left the intersection of reason and the second rib.
The cause of disease of disease:
For continue, take place on the intersection of lung and the intersection of artery and pulmonary trunk root of high pressure expanding most common cause of disease, cause a ring to expand, see in rheumatism bicuspid valve disease, situations such as a dose of syndrome of door full of trees,etc. of ending. Lung arteriectasis that I haven't seen you for a long time the cause of disease specially includes sending and Marfan syndrome. A primary damage of lung artery is rare, membrane inflammation, lung artery a petal of narrow or the postoperative Fallow's block of four, a kind of cancer and syndromic wind worry in infective heart can take place
Pathologic physiology:
For continue, take place on the intersection of lung and the intersection of artery and pulmonary trunk root of high pressure expanding most common cause of disease, cause a ring to expand, see in rheumatism bicuspid valve disease, situations such as a dose of syndrome of door full of trees,etc. of ending. Lung arteriectasis that I haven't seen you for a long time the cause of disease specially includes sending and Marfan syndrome. A primary damage of lung artery is rare, membrane inflammation, lung artery a petal of narrow or the postoperative Fallow's block of four, a kind of cancer and syndromic wind worry in infective heart can take place
The lung artery one closes and does not lead to the fact completely the capacity load of right heart is excessive. If without artery high pressure of lung, can have had no symptom for many years; If there is artery high pressure of lung, accelerate the right heart depletedly and happen.
Diagnose that checks:
Laboratory and other inspections:
First, X-ray examination Right ventricle and pulmonary trunk are expanded.
Second, electrocardiogram Lung artery high pressure person have right ventricle to be plump to solicit.
Third, interesting supersound are pursued Doppler can not close completely and extremely sensitively in making a definite diagnosis of the lung artery one, but half a quantification, against the procedure degree. Pursue to contribute to the clear cause of disease in the two-dimentional supersound aroused in interest.
Healing solution:
Regard treating the primary disease which causes the artery high pressure of lung as the main fact, such as relieving the mitral stenosis. Only when a backflow of serious lung artery causes the difficult managing right heart to be depleted, just consider carrying on the surgery treatment to this valve
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