心脏坦波尼德. 心脏坦波尼德. 是临床诊断还是心声回声诊断?
1Division of Cardiology, University of Cincinnati College of Medicine, Ohio 45267-0542.
Circulation
|May 1, 1993
概括
诊断心脏栓塞依赖于临床症状,如静脉压升高和呼吸障碍,通过心声回声检查得到确认. 一些患有大量心周溢血的患者可能不需要排水,如果轻度或可以用药物治疗.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 心脏吸管是一种严重的病情,其特点是心周囊中积聚液体.
- 临床表现可能会变化,有时没有经典症状.
研究的目的:
- 概述心脏栓塞的诊断标准. 为了概述心脏栓塞的诊断标准.
- 讨论心声回声学在确认诊断中的作用.
- 区分轻度和重度病例,指导管理决策.
主要方法:
- 临床检查侧重于全身静脉压力,心动减速,呼吸障碍和矛盾脉.
- 心声造影以评估心周溢出的大小,心室压缩和流量变化.
- 评估特定的临床情景,其中经典症状可能不存在.
主要成果:
- 诊断主要是临床的,得到心声回声学发现的心周溢出和心脏压缩的支持.
- 脉冲悖论和高静脉压在某些条件下可能不存在,例如左心室功能障碍或局部吸管.
- 右心房压缩的心声学证据可以发生在没有静脉压力升高的明显临床迹象的情况下.
结论:
- 心脏吸管诊断整合了临床和心声回声学数据.
- 应根据严重程度和病因学进行个性化的治疗,包括心周切除术.
- 观察或医疗管理可能足以轻微的病例或那些可治疗的原因,如德雷斯勒综合征.
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