Qhov Tseem Ceeb - Carotid Artery Pulsation vs Jugular Vein Pulsation
Pulse hauv cov ntsiab lus dav dav tuaj yeem txhais tau tias yog kev hloov pauv ntawm cov hlab ntsha hauv cov hlab ntsha. Carotid mem tes yog thaum cov yoj lub siab no txav mus thoob cov hlab ntsha carotid. Ib yam li thaum lub siab tsis txav mus los ntawm cov hlab ntsha hauv cov hlab ntsha uas hu ua jugular venous pulse (JVP). Carotid pulse yog ib qho hlab ntsha pulse thaum JVP yog venous mem tes. Qhov no yog qhov sib txawv tseem ceeb ntawm carotid mem tes thiab JVP.
Carotid Artery Pulsation yog dab tsi?
Cov hlab ntsha carotid yog ib qho ntawm cov hlab ntsha loj uas tawm ntawm lub aorta. Kev ntsuam xyuas ntawm carotid mem tes yog ib feem ntawm kev kuaj niaj hnub. Tab sis qee tus kws kho mob tawm tsam qhov kev ntsuam xyuas ntawm carotid mem tes raws li qhov muaj peev xwm muaj teeb meem xws li kev tawm tsam ischemic, induce reflex thiab vagally mediated bradycardia. Carotid pulse yog lub plawv ntawm kev xaiv hauv kev tshuaj xyuas tus neeg mob uas tau mob plawv.
Daim duab 01: Xav txog Carotid Pulse
Ntog cim,
Ntawm lub kaum sab xis ntawm lub puab tsaig anterior mus rau cov leeg sternocleidomastoid
xeem sequence,
- Carotid mem tes ntawm ob sab yuav tsum tsis txhob raug ntsuas ib txhij.
- Tus txheej txheem yuav tsum tau piav qhia rau tus neeg mob.
- Hais kom tus neeg mob pw hauv qhov chaw tsis txaus ntseeg.
- Muab cov ntiv tes nruab nrab ntawm lub larynx thiab anterior ciam teb ntawm sternocleidomastoid thiab poob lub mem tes.
- Mloog rau cov nqaij ntshiv ntawm carotid mem tes siv lub stethoscope.
Jugular Vein Pulsation yog dab tsi?
Lub siab hauv cov hlab ntsha jugular tuaj yeem kwv yees los ntawm kev ntsuas ntawm jugular vein pulsation (JVP). Qhov ib txwm waveform tsim ob peaks ib feeb. JVP qhia txog txoj cai atrial siab. Lub kaum sab xis yog li 5 cm saum toj ntawm sab xis atrium. Yog li ntawd, thaum tus neeg mob nyob ntawm lub kaum sab xis ntawm 45 mus rau kab rov tav JVP yuav tsum tau kuaj xyuas kwv yees li 4cm saum lub kaum sab xis. Thaum JVP tus neeg mob qis yuav tsum tau pw tiaj tus kom pom, thiab thaum JVP tus neeg mob siab yuav tsum zaum ncaj.
xeem sequence,
- JVP zoo tshaj plaws saib ntawm sab xis
- Muab tus neeg mob supine, reclined ntawm 45 thiab tso lub hauv ncoo hauv qab kom so cov leeg sternocleidomastoid.
- Saib tus neeg mob lub caj dab thiab txheeb xyuas JVP nyob rau hauv lub suprasternal notch lossis qab sternocleidomastoid.
- Vertical qhov siab nruab nrab ntawm qhov kawg ntawm lub plawv dhia thiab lub kaum sab xis yog coj raws li JVP
Daim duab 02: Waveform hauv Jugular Venous Pulse
Ib txwm JVP nthwv dej muaj 2 peaks ib lub voj voog. Lub 'a' nthwv dej sib haum rau atrial constriction thiab tshwm sim ua ntej lub suab thawj lub plawv. Lwm lub ncov uas yog hu ua 'v' nthwv dej tshwm sim thaum lub ventricular systole thaum lub ventricular filling tshwm sim.
Qhov txawv ntawm Carotid Artery Pulsation thiab Jugular Vein Pulsation yog dab tsi?
Carotid Artery Pulsation vs Jugular Vein Pulsation |
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| Carotid pulsation yog lub plawv dhia. | Jugular vein pulsation is a venous mem tes. |
| Tsuas muaj ib lub ncov ib ncig ntawm lub plawv. | Muaj ob lub siab tshaj ib lub voj voog. |
| Carotid mem tes palpable. | JVP is impalpable. |
| cuam tshuam ntawm kev siab | |
| Pulsation tsis cuam tshuam los ntawm lub siab ntawm lub hauv paus caj dab. | Pulse txo los ntawm kev nce siab ntawm lub hauv paus ntawm caj dab. |
| Carotid mem tes tsis nyob ntawm kev ua pa. | JVP sib txawv nrog kev ua pa. |
| Impact of Position | |
| Pulse tsis hloov txoj haujlwm ntawm tus neeg mob | Pulse hloov nrog txoj haujlwm ntawm tus neeg mob. |
| plab plab | |
| Pulse yog ywj siab ntawm lub plab. | Pulse nce nrog nce siab hauv plab. |
Summary – Carotid Artery Pulsation vs Jugular Vein Pulsation
Kev hloov pauv ntawm lub siab tsis muaj zog hla cov hlab ntsha carotid thiab cov hlab ntsha sab hauv jugular yog lub npe hu ua carotid mem tes thiab JVP. Carotid pulse yog ib qho hlab ntsha pulse thaum JVP yog venous mem tes. Nov yog qhov sib txawv loj ntawm ob nqe lus no.
Download PDF Version ntawm Carotid Artery Pulsation vs Jugular Vein Pulsation
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Carotid Artery Pulsation thiab Jugular Vein Pulsation
