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Wysłany: Sob 10:29, 05 Mar 2011
Temat postu: tory burch flats lbk cne zce uzl
42 cases of aortic dissection in patients with clinical data
Opening (more common in right coronary artery), causing right ventricular and inferior myocardial infarction [2]. Artery dissection caused by blocked blood vessels involved in the area may have noise and tremor,
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, arterial pulse weakened or disappeared, causing the arterial pulse and blood pressure asymmetry. One for the AD itself, ECG, chest X-ray examination in most cases no characteristic changes. There are characteristic changes in ultrasound, particularly for the aortic root and ascending aorta is more diagnostic value of the dust falling into the Da Zha 62Jfj Sheng Huang parameters of SVM plastic one) ',
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, while also determining the situation of aortic regurgitation. Spiral cT false lumen thrombosis is more conducive to the review}} I, may increase the specificity of AD diagnosis. MRI can accurately show the lumen of aorta, aortic dissection Zhao main artery branches as well as the pathological relationship between the longitudinal range of other diseases. In conclusion, ultrasound, spiral CT and MRI in the diagnosis of AD when combined with rapid diagnosis and localization of the small help. The main purpose of AD treatment is to prevent the consequences of extended dissection. Medical management should focus on two aspects: ① lower systolic blood pressure; ② reduced left ventricular ejection rate, which is believed to avoid the effect of r-shaped aortic AD War and an important factor in its expansion [31. SNP is the drug of choice for treatment of AD. By a strong expansion of the small arteries, veins, can reduce the surrounding vascular resistance, to buck the effective date of the k calcium antagonists, angiotensin converting enzyme inhibitors and diuretics as the key to lowering drugs music. B-blocker treatment of acute AD essential drugs. The inhibition of cardiac contractility, reduce the rate of ventricular pressure changes, and other antihypertensive drugs can Shí secondary anti-sexual sense of excitement, but also help restore damaged nerve regulatory function,
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, is conducive to the stability of blood pressure. In summary, the following example the situation where the encounter should be wary of the possibility of aortic dissection: ① the performance of those above the typical pain; ② sudden signs of aortic insufficiency or Qu bone fossa palpable pulsatile abdominal mass are; ③ appear on both sides of blood pressure,
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, pulse strength is inconsistent, as soon as possible to select the appropriate imaging studies to confirm the diagnosis.
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