Plump type myocardium disease is diagnosed with the differential diagnosis _'s treatment

Plump type myocardium disease is diagnosed with the differential diagnosis _'s treatment
Diagnosis
Having ventricles to flow out a patient obstructing because has clinical manifestation of characteristic nature, it is not difficult to diagnose. Supersound aroused in interest to pursue, it checks to be having diagnosticking methodding of creating etc. extremely important, no matter and patient of person who obstruct helpful to person who obstruct, the intersection of interventricular septum and thickness greater than or equal to and 18mm, have bicuspid valve move in front of the systolic phase, enough to distinguish person who obstruct and obstruct the intersection of venereal disease and example. The heart conduit checks to reveal the left ventricle flows out a pressure difference and can be established and diagnosed. The ventricle radiography is right to diagnose that valuable too. A period of left reason has systolic phase noises that should consider a disease under the brestbone on clinic, or medicine apply influence the intersection of blood flow and dynamics and observe noise, change, contribute to, diagnose with physiological movement. In addition, must also make the following differential diagnosis.
(1) The position of systolic phase noise of interventricular septal defect is close, but the whole systolic phase, the apex of the heart district does not have more noises, ultrasonic heart cardon, heart conduit are checked and the cardiovascular vessel radiography can be distinguished.
(2) A narrow symptom of the aorta is similar to noise property, but the noise position is relatively high, have the intersection of aorta and petals of the intersection of district and systolic phase spray sound often, second sound subside, have the intersection of relaxation and in early period noise even. The X-ray shows and promotes main arteriectasis. Physiological movements or medicine function have a little effect on noise. The left heart conduit checks to reveal the pressure difference of systolic phase exists before and after the aorta one. Be able to define the sick position to pursue in the supersound aroused in interest.
(3) The rheumatism bicuspid valve can not close completely the noise similarly, but mostly the whole systolic phase, the blood vessel shrinks medicines or squats down to strengthen noise, often quiver with the atrium, the atrium sinistrum is relatively big, pursue not to reveal ventricular septal defect in the supersound aroused in interest.
(4) ST-T changes on coronary heart disease and angina pectoris, electrocardiogram and the unusual Q wave, in order to own in common, but coronary heart disease does not have characteristic noise, the aorta is increased more widely or has calcification, there are much hypertension and hyperlipemia; Pursues the upper interventricular septum and does not increase thick in the supersound aroused in interest, but there may be the room wall unusual sports of segment nature.
|