bài giảng hẹp van động mạch chủ

1
HÔÛ VAN ÑMC
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$%$#"%&$
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NGUYÊN NHÂN VÀ GIẢI PHẪU BỆNH
1. Bệnh lý của van ĐMC
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*67(0899
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0-1/1
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02$!:

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NGUYÊN NHÂN VÀ GIẢI PHẪU BỆNH
2. Bệnh lý của ĐMC lên
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*6/(@
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8B%'/
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#2$;%
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CÔ CHEÁ HÔÛ VAN
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<&#%($01<$2$
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C#01<-1/1
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'/01<*67(899%#$#
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<A'/#D##
1<'/5%5%-><1
E8%2:"=:=%####:#2F
1<-><1$%$!:G(:'/
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GIAÛI PHAÃU HOÏC HÔÛ VAN ÑMC
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SINH LYÙ
BEÄNH HÔÛ
VAN ÑMC
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SINH LYÙ
BEÄNH HÔÛ
VAN ÑMC
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TRIEÄU CHÖÙNG CÔ NAÊNG
0*:'/"#%$(#!#:D;$
=A:2$%%&
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>%$:H$!"=2IJ
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:=$K$!"#&=
3
2$L$I
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*%&%
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0*:'/#2
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/$
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>%$:#25
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*"2$
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TRIEÄU CHÖÙNG THÖÏC THEÅ (1)
3
<2M#;2"%$$2%$=$%
)$$(K%&
3
<2/$=&$$%)=$
3
/"#%((;$$"#""
3
<2<(%99$%4;:";2"%2
3
<21("#"#%$2="!
$2N"#N
3
<2*2$$$:!:"##%:2$
$$:#$HOPQ*J
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TRIEÄU CHÖÙNG THÖÏC THEÅ (2)
3
#$(%2$$$$$(!:;%
#% >%(%$;%@@ - 0 2$  $ $(!: =% $(% %
"#$!:=!:>%(%$;%@@R-

3
/%$#$(G%25!:(%%B%F
3
.S$%$$(!:"2$:7TU$($G!:
!#%I#::G!:!#H$$%#:#2'/VF
3
C$$(!:.$W$:%$F
3
1XB$!:
3
14$:B$!:=%;;%
$#=%)#$!:F84$D;#%$D'/8
3
1T#%$#%5#!#%(%2%"#!#D$2$$(
11
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CẬN LÂM SÀNG :
ĐIỆN TÂM ĐỒ VÀ X QUANG NGỰC
0Điện tâm đồ :
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B$!:
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<&$2$$(;$D$$(!:$2$
$(
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CY$!:"G26*:'/=:
$&
0X quang ngực :
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%$B$!:$%

12
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ECG
13
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CẬN LÂM SÀNG :
SIÊU ÂM TIM 2D VÀ DOPPLER MÀU
Mục tiêu siêu âm :
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=%G#=)
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Z:#!:"=%I
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:#2:
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!#D$2$$(
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.[!"#'/8
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$%2:"
14
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SIEÂU AÂM TIM (1)
15
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SIEÂU AÂM TIM (2)
16
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SIEÂU AÂM TIM (3)
17

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SIEÂU AÂM TIM (4)
18
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SIEÂU AÂM TIM (5)
19
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SIEÂU AÂM TIM (6)
20
 4<1/3I$#K$#"!#$("#5%"#F
K$1/5%:'%"##H<%(
JH.JF'%(%5%"$$"%2#=%=!:"#
\HJ
A B
21
/I$#K$#"!#$("#0'%"#
#]4<'%"###%T
5&;;%;LH.JF/I$#K$#"!#$("#
5%"#B$2$$(5A:$(%:'/HJF
A
B
22
/I$#K$T%&$!%]'%#5%:
=%"##!:"$ 4F>%$
<%($"#5% =%"##F
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23

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24
*+, '/
ĐỊNH LƯNG ĐỘ NẶNG Ở VAN ĐMC
Độ nặng hở ĐMC Tiêu chuẩn siêu âm
I ( nhẹ ) F'%(%5%"$:%2#`\H%I#X04UaJ
F<<`QX6
F8*1bUcQdXQQ
F<%"$e5!:
II ( vừa ) F'%(%5%"$:%2#b\0XXH%I#4f0UPaJ
F<<εgQX0Q46h
F8*1bTcQdcQ
F<%"$;%!:"$ !A4
III ( nặngï ) F'%(%5%"$:%2#bX40XPH%I#Uc0PUaJ
F<<εgQ40QT6h
F8*1b4fQd\Q
F<%"$$:5!:#:$("
IV ( rất nặng ) F'%(%5%"$:%2#OXPH%I#OPfaJ
F<<OQT6
F8*1bXUQdTQ
F<%"$$:%$
25
*+, '/
ÑIEÀU TRÒ NOÄI KHOA

08%!$2$
08%!%$"#$(
0'&$()$
0i/:"$<$$($
#"$
0>$"$.%$RR
0>%5!##2#