Health Worlds

academic jour MEDICAL IMAGING TECHNOLOGY "2010 Ultrasound diagnosis of constrictive pericarditis, 1 case of pulmonary artery stenosis
Ultrasound diagnosis of constrictive pericarditis caused by pulmonary stenosis in 1 case Ultrasonographic diagnosis of constrictive pericarditis leading to pulmonary stenosis: Case reportYou can in the "My Services" in the you add a reference to the notification list, and configure access to notices.Were male, 41 years old, mainly due to "palpitation, dyspnea six months, adding to 1 week" treatment. Examination: heart rate 108 beats / min, the law Qi, pulmonary valve area could be heard and two systolic murmur and pericardial friction rub is not known; liver, ribs 3.0 cm; ECG revealed: the chest leads low voltage, T wave low and even. outside the hospital ultrasound diagnosis of left ventricular posterior wall myocardial limitations of processes (rhabdomyosarcoma may be). hospital echocardiography examination: a significant increase in pericardial thick, echogenic; left and right atrial enlargement, left ventricular cavity deformation, the left ventricular anterolateral papillary muscle displacement, can be seen attached to the flap chordae; pulmonary artery narrowing, which was within the colorful mosaic, the flow rate increased rapidly as 2.6 m / s. of: Zhou Chang Zhou Jun Liu Lei Xie Hanbo People's Hospital in Yichang city, Three Gorges University, Department of Ultrasound, First Clinical Medical College, Hubei, Yichang, 443003 Title


: Medical Imaging Technology ISTKU English title: CHINESE JOURNAL OF MEDICAL IMAGING TECHNOLOGY, the volume (of): 2010 26 (4) Key words: R542.11 R543.2 R445.1 Key words: pericarditis, constrictive pulmonary stenosis ultrasound Pericarditis, constrictive Pulmonary valve stenosis Ultrasonography Machine Standard Classification: R54 R6 machine standard Key words: ultrasound diagnosis of constrictive pericarditis, pulmonary stenosis diagnosis of left ventricular systolic murmur of pulmonary rhabdomyosarcoma narrow echogenic breathing difficulties atrial enlargement diagnosed by color Doppler ultrasonography pulmonary valve chest lead before the outside lateral fricative low-voltage limitations of muscle movement Fund Project: DOI: similar to the literature related to Notes
Over
Constrictive pericarditis (Cardiovascular Medicine) is the end result of some pericardial disease, cardiac fibrosis, calcification and thickening of the pericardium causes narrowing and restricts the heart of the diastolic pressure. Coarctation of the most common disease is caused by pericardial tuberculosis, suppurative pericarditis. Timely treatment of the disease is mainly surgical, if the delay leading to myocardial atrophy disease, heart failure, cirrhosis and systemic prognosis is extremely poor and, therefore, timely diagnosis and early surgical treatment.
Symptoms:
1. Exertional palpitations, shortness of breath, severe orthopnea, and cough, fatigue, abdominal distension, anorexia and weakness, etc.; 2. Apex beat reduced or lost, normal or mild cardiac dullness increased heart rate, reduce heart sound, pericardial knock can have sound, some patients with atrial fibrillation; 3. jugular vein engorgement and Kussmauls symptoms, hepatomegaly, ascites, pleural effusion, lower extremity edema, etc.; pulse, thin, and systolic blood pressure, pulse pressure small , can have strange clock.
Diagnosis based on:
1. A history of acute pericarditis; 2. Systemic circulation blood stasis symptoms, Kussmauls signs; 3. Apex beat was not obvious, distant heart sounds, pericardial knock sound; 4. Low blood pressure, pulse pressure is small, odd pulse; 5.X-ray showed a small and calm the heart, pericardial calcification shadow, pulmonary blood decreased.
Treatment:
Treatment principles 1. Once diagnosed, as early as possible for surgical removal of the pericardium; 2. Medical treatment is mainly supportive therapy and diuretic therapy.
Drug Principles 1. As soon as possible for surgery; 2. Known or suspected tuberculous constrictive pericarditis, preoperative anti-TB treatment should be 1-4 weeks, such as diagnosis certainly, in the pericardial resection should continue taking 6 - 12 months; 3. there that can reduce preoperative digitalis arrhythmia and heart failure, reduce mortality; 4. the treatment of inoperable, primarily diuretic and support treatment, if necessary, pumping the chest, ascites.
Prevention of common sense:
Constrictive pericarditis, pericarditis is the end result of all the past, most of them have tuberculosis, purulent or bloody history of pericarditis. Visits patients when the disease should be considered if the following conditions: acute pericarditis, narrow heart shadow after the anti-elevated venous pressure; of pericardial effusion and cardiac tamponade less symptoms do not improve. Clinical symptoms may be due to blood stasis and circulation of other heart disease misdiagnosed; can be misdiagnosed as a result of cirrhosis or ascites and tuberculous peritonitis. Lost due to delay treatment opportunities for surgical treatment. Disease and restrictive cardiomyopathy should be differentiated. Once diagnosed as early as possible for pericardial stripping, surgical treatment is good. Significant cardiac cirrhosis cardiac atrophy and poor prognosis, patients prone to risk of low cardiac output syndrome. Can not be surgical treatment, the disease will be progressive increase, the final result of cachexia, failure and death. Therefore, raising awareness and vigilance of the disease, early diagnosis, early surgical treatment is very important.


Friends Links:Automation Control Blog
Automation Products Order Numbers