Chronic pulmonary heart disease in brief

Chronic pulmonary heart disease (chronic pulmonary heart disease) [Causes] (1) lungs, bronchial diseases: tracheitis target = _blank> chronic bronchitis, emphysema obstruction of the most common, followed by severe tuberculosis, bronchiectasis, bronchial asthma and lung abscess, silicosis, and so on. (2) thoracic diseases: such as spinal tuberculosis, rheumatoid spondylitis, thorax, and so after forming. (3) pulmonary vascular disease: such as pulmonary inflammation, such as primary pulmonary hypertension. [Clinical] Decompensated heart lung function, the main chronic cough, Katan, slightly activities that have palpitations, shortness of breath, fatigue and cyanotic. Decompensated heart lung function that is acute stage, the performance of respiratory failure and heart failure for the clinical manifestations of acute pulmonary heart disease. [Diagnosis] (1) primary chronic lung disease history, age of onset and more in over 40 years of age. (2) lung and heart function decompensated decompensated stage clinical performance. (3) physical examination can levy emphysema, pulmonary valve second heart sound hyperthyroidism, tricuspid District systolic murmur and Benma law, the jugular vein Nuzhang, hepatomegaly, liver jugular vein returning positive sign, ascites and lower limb edema And so on. (4) X-examination may have emphysema change. (5) ECG can be a low voltage, with 10-minute spin, the right side axis, lung-P wave, right ventricular hypertrophy, right bundle branch block. (6) echocardiography visible change in pulmonary hypertension. (7) pulmonary function tests and blood gas analysis, the acidity of both contribute to the diagnosis. [Diagnosis] (1) Coronary Heart Disease May be interested or able to myocardial infarction history, physical examination, X-ray and electrocardiogram to check mainly left ventricular hypertrophy. (2) rheumatic valve disease History often rheumatism, there are organic mitral murmur, X-ray inspection or right ventricular hypertrophy, electrocardiogram and echocardiography can help identification. (3) congenital heart disease Light age of onset, there cyanosis and heart failure symptoms, X-ray inspection can enhance the hilar vessels throb, cardiovascular examination will help identify.