1943年,Isaac Starr和他的同事为了更好地理解右心室在健康以及疾病中的作用,进行了一系列严重损伤右心室的动物实验。当他们观察到仅有外周静脉充血轻微增加时,他们得出结论是,在心力衰竭的动力学中,“weakness of the right side of the heart…seems less importa...
临床表现 重度三尖瓣关闭不全患者表现为慢性右心衰竭(chronic right heart failure)的症状和体征,包括全身体液潴留,导致颈静脉压升高、外周水肿和腹腔积液(腹水);肠道吸收减少和全身性水肿(anasarca);心脏储备降低,导致运动不耐受(exercise intolerance)、呼吸困难和功能能力变差;心输出量减少,伴有终末器官静脉淤血和灌注...
1. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J 1943;26:291-301. 2. Driscoll DJ, Daniel...
15. Gorter TM, Hoendermis ES, van Veldhuisen DJ, et al. Right ventricular dysfunction in heart failure with preserved ejection fraction: a systematic review and meta-analysis. Eur J Heart Fail 2016;18:1472-1487. 16. Miller WL, Grill DE, Borlaug BA. Clinical features, hemodynamics, and out...
Pulmonarycapillaryhemangiomatosisandrightheartfailure.2However,adiagnosisofpul- Persistentpulmonaryhypertensionofthenewbornmonaryarterialhypertensiondoesnotprecludean Pulmonaryhypertensionwithleftheartdiseaseactivelifestyle,andpatientsareusuallyadvisedto Left-sidedatrialorventricularheartdiseaseengageinactivitiesappropriatetotheir...
renalpelvicpressure,whichreducesglomerularfil-rosis(PanelB),righthydroureter(arrowinPanelC),anda6-mmstoneinthe trationandrenalbloodflow.10Infectionproximaldistalureter(PanelD).Thepatientwastreatedwithureteroscopy,which toobstructionissuggestedbyfever,urinalysisshow-showedstoneimpaction.Thestonewas90percenturicacidan...
temperatureis38.5°C,andtheheartrateis95beatsperminute.Shehastenderness andguardingintherightupperquadrant.Howshouldherconditionbeevaluatedand treated? TheClinicalProblem FromtheSectionofHepatobiliary–Pan-Acutecalculouscholecystitisisacomplicationofcholelithiasis,aconditionthat ...
pneumothorax: dilated right ventricle, small left ventricle Distributive shock Hypovolemic shock Cardiogenic shock Obstructive shock C Distributive shock Hypovolemic shock Cardiogenic shock Obstructive shock Loss of Obstruction Vasodilatation plasma or blood volume Ventricular Pericardial failure tamponade Figure ...
重度三尖瓣关闭不全患者表现为慢性右心衰竭(chronic right heart failure)的症状和体征,包括全身体液潴留,导致颈静脉压升高、外周水肿和腹腔积液(腹水);肠道吸收减少和全身性水肿(anasarca);心脏储备降低,导致运动不耐受(exercise intolerance)、呼吸困难和功能能力变差;心输出量减少,伴有终末器官静脉淤血和灌注不足共同...
1. Starr I, Jeffers WA, Meade RH Jr. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J 1943;26:291-301. ...