Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade

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Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade
Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade

Video: Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade

Video: Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade
Video: Qhov Txawv Ntawm Lus Hmoob Thiab Lus Mab Mawb 2024, Lub Xya hli ntuj
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Qhov Tseem Ceeb - Pericardial Effusion vs Cardiac Tamponade

Kev sau cov kua dej nyob rau hauv lub serous pericardial sac yog hu ua pericardial effusion. Thaum tsuas muaj cov kua dej me me hauv cov kab noj hniav pericardial, nws tsis cuam tshuam lub peev xwm ua haujlwm ntawm lub plawv. Tab sis yog tias qhov tshwm sim ntawm pericardial effusion tsis raug tshem tawm, cov kua dej txuas ntxiv mus rau hauv lub hnab pericardial. Yog li ntawd, lub plawv chambers uas nyob ib sab yog compressed thiab lub twj tso kua mis ntawm lub plawv yog impaired. Qhov mob hnyav no hu ua cardiac tamponade. Txawm hais tias tsis muaj kev hloov pauv ntawm lub peev xwm ntawm lub plawv hauv pericardial effusion, hauv plawv tamponade, lub peev xwm nqus tau txo qis heev. Qhov no yog qhov sib txawv tseem ceeb ntawm pericardial effusion thiab cardiac tamponade.

Pericardial Effusion yog dab tsi?

Kev sau cov kua dej nyob rau hauv lub serous pericardial sac yog hu ua pericardial effusion. Tus mob no feem ntau cuam tshuam nrog qhov tshwm sim ua ntej ntawm tus mob pericarditis.

Tshuaj Kho Mob

  • Nyob zoo thiab nyob deb lub suab
  • Ntxim ntawm lub apex yeej hloov pauv
  • Thaum thawj theem, tuaj yeem muaj kev sib txhuam txhuam uas maj mam txo nrog lub sijhawm
  • Qee zaum cov kua dej tuaj yeem ua rau lub hauv paus ntawm lub ntsws sab laug. Qhov no tuaj yeem ua rau muaj suab nrov nrov ntawm lub suab nrov ntawm thaj tsam hauv qab ntawm sab laug scapulae.

Kev tshawb nrhiav

  • ECG - qis voltage QRS complexes nrog sinus tachycardia tuaj yeem pom
  • Lub ntsej muag loj lossis lub plawv zoo li txiv duaj pom hauv lub hauv siab x-ray
  • Echocardiography yog qhov kev tshawb nrhiav txhim khu kev qha tshaj plaws rau kev kuaj mob ntawm pericardial effusion
  • Cardiac CT, pericardial biopsy, thiab pericardiocentesis yog lwm qhov kev tshawb nrhiav uas feem ntau ua.
Qhov txawv tseem ceeb - Pericardial Effusion vs Cardiac Tamponade
Qhov txawv tseem ceeb - Pericardial Effusion vs Cardiac Tamponade

Daim duab 01: Echocardiography Duab ntawm Pericardial Effusion

Kev kho mob

Lub hauv paus ua rau raug tshem tawm. Feem ntau, pericardial effusions daws spontaneously.

Cardiac Tamponade yog dab tsi?

Thaum muaj cov kua dej ntau ntxiv hauv cov hnab ntim cov hlab ntsha uas ua rau lub plab pericardial effusion, nws tuaj yeem ua rau cov ventricles uas nyob ib sab, cuam tshuam ventricular filling thiab impairing lub twj tso kua mis ntawm lub plawv. Qhov tshwm sim no hu ua cardiac tamponade.

Tshuaj Kho Mob

  • Jugular venous siab yog qhov siab tsis zoo
  • Lub plawv tso zis poob qis alarmingly
  • Yuav txo cov ntshav siab li 10mmHg

Tib txheej ntawm kev tshawb nrhiav siv los kuaj mob pericardial effusion tuaj yeem siv rau kev kuaj mob plawv tamponade ib yam nkaus.

Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade
Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade

Daim duab 02: Cardiac Tamponade

Kev kho mob

  • Pericardiocentesis yuav tsum tau tso cov kua dej uas tau sau tseg thiab txo qhov kev tawm tsam ntawm lub ventricles
  • Pericardial fenestration yog qhia thaum muaj feem ntau ntawm kev tsim cov pericardial effusions uas tuaj yeem ua rau lub plawv tamponade theem. Cov txheej txheem no ua kom yooj yim rau cov dej ntws tawm hauv lub hnab pericardial mus rau hauv cov ntaub so ntswg uas nyob ib sab los ntawm kev tsim qhov qhib rau hauv cov kab noj hniav pericardial.

Dab tsi yog qhov zoo sib xws ntawm Pericardial Effusion thiab Cardiac Tamponade?

  • Cov kua dej ntau hauv lub hnab pericardial yog lub hauv paus pathological ntawm ob qho xwm txheej
  • tib pab pawg ntawm kev tshawb nrhiav uas suav nrog ECG, X-ray hauv siab thiab echocardiography tuaj yeem siv los txheeb xyuas ob qho tib si pericardial effusion thiab cardiac tamponade.

Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade yog dab tsi?

Pericardial Effusion vs Cardiac Tamponade

Pericardial effusion yog cov kua dej nyob hauv lub hnab serous pericardial (lub hnab ncig lub plawv). Cardiac Tamponade yog thaum cov kua hauv lub pericardium tsim, ua rau pericardial effusion, thiab ua rau compression ntawm lub plawv, uas cuam tshuam rau kev ua haujlwm ntawm lub plawv.
Txoj haujlwm ntawm lub ventricles tsis muaj qhov cuam tshuam. Pumping action ntawm lub ventricles yog impaired.
Tus neeg tuaj saib

kho mob nta ntawm pericardial effusion yog,

  • Nyob zoo thiab nyob deb lub suab
  • Ntxim ntawm lub apex yeej hloov pauv
  • Kev txhuam txhuam uas maj mam ploj zuj zus nrog lub sijhawm (thaum pib theem)
  • Lub suab npub ntawm kev cuam tshuam rau thaj tsam hauv qab ntawm sab laug scapulae (vim yog compression ntawm lub hauv paus ntawm lub ntsws sab laug)

Ua raws li kev kho mob tshwm sim ntawm lub plawv tamponade,

  • Jugular venous siab yog qhov siab tsis zoo
  • Lub plawv tso zis poob qis alarmingly
  • Yuav txo cov ntshav siab li 10mmHg
Lub hauv paus ua rau raug tshem tawm. Feem ntau, pericardial effusions daws spontaneously. Pericardiocentesis thiab pericardial fenestration yog txoj kev kho mob ntau.

Summary - Pericardial Effusion thiab Cardiac Tamponade

Kev sau cov kua dej nyob rau hauv lub serous pericardial sac yog hu ua pericardial effusion. Thaum lub ntim loj ntawm cov kua uas muaj peev xwm compressing cov hlab plawv uas nyob ib sab tau sau rau hauv lub hnab pericardial, nws hu ua cardiac tamponade. Hauv pericardial effusion, lub peev xwm ntawm lub plawv tsis cuam tshuam, tab sis nyob rau hauv lub plawv tamponade, muaj qhov txo qis hauv lub peev xwm ntawm lub plawv. Qhov no tuaj yeem suav tias yog qhov sib txawv loj ntawm pericardial effusion thiab cardiac tamponade.

Download PDF Version of Pericardial Effusion vs Cardiac Tamponade

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 Pericardial Effusion thiab Cardiac Tamponade

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