hở van 3 lá bs đào hữu trung

HÔÛ VAN BA LAÙ
HÔÛ VAN BA LAÙ
BS ÑAØO HÖÕU TRUNG
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
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 !"#$
%&
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%$' , '  - ./." 0
 +1#213$4
56789:;<
56789:;<
Boä maùy van ba laù

=$'0 >$ 
 ?(#2
 @.A B
 C$
 D2?(#
  E0 '
 % 0 '
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D22FGH-(I2 E $I
56789:;<
56789:;<
Hở van ba lá ba cơ năng
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@J22- .1/#


##&(#2#
Hở van 3 lá thực thể

%$A $$A. .
Bệnh lý van 3 lá
FK(!$L0!I
MN  #1-N 2?(#
 A1+ O%1."
FK/IP% +$."
 $FKI21FCQ$I
O8,   R+
  0"- ..A '
8O ' 
CO'R
7;989:H
7;989:H
Hôû van 3 laù «,sinh lyù,»
=ST,  #$3"- .!JU
Hôû van 3 laù cô naêng:
@J22
$Q$'$')#0KF-A$A. .I
Hụỷ van 3 laự thửùc theồ:
H2?(#
V1W(#
VL'F 8(XYKZY[(00A2(2
LA!"Y9(L@(LI
V8+"L F%M%9LI
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L$ #0"
7;989:H
7;989:H
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O')!!J 
8O'  + $ 0
F 8!$^U2
*LUUC!(_O_SY`aba
H;<89:C
H;<89:C
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WA$'0 >$ O
@J22&'"A'($#22
@J%&!.A BP1#- .- NU
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% .Q$O #0(
@ 'A%KCP%
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@  O
@ 'A%K $'&
$("'"P<0()
KHc
KHc
% 4 - $'#!$ $)$A.-" 
Tam chöùng:
." +." $2$#P@$ $C2( 

K E " ." $F$(L2$/LAL(Q$I
@J'-A." $F9/0LLAL(Q$!$ZI
Dieãn tieán:
%$A $2 )$A.
D!O8 ".(.-P% 0"U@>$A $ (A#
"#U
C:KHc
C:KHc
Điện tâm đồ:
%$A $2 (A#)$A. 

% #$ E $ 40/
@A E0 '
%)# W E
Q^'D`PD?^
C#^@%'#!  
X quang:
"!!J E0 '
8+$ )#0O@J%KCY!4 d
%$3 0 +)1U
Siêu âm
Tónh mạch cổ đồ
Thông tim – Đồng vò phóng xạ
H97K%K%^e5D?<
H97K%K%^e5D?<
Muïc ñích sieâu aâm
V]#14  +1#
V]#14 $A. .
V# #1R
Vf<!$ $A1 PK

Caùc maët caét höõu ích:

M 'L#O
##. HH
#2# ]gC
H8C
#L$!# ]gC
]AD%PL$F!I
C'?(# HH0 'F!I

@N Gb"h
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D2Φ*8HKWWU`±W""

i2($F%4L- 'L#IPF%4L$, 8%I
F(  $+#4L$, 8%I
H97K%K%^e5D?<
H97K%K%^e5D?<
=
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<<e5D?<
Hình daïng phoå Doppler:F/$FjI2(.$FCjII

K#1$A3."O j- .#4
Cj k# +1# #- -#"U

% O % ,%% $
$3 AJ%% $l ' 

jO@!0 m' '(#RFA0

("I
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Đường kính dòng phụt:
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Dòng tónh mạch trên gan: (Hay TMC dưới)
Φ%KC!#≥Wg""
Φ%K&`p""
KRoO H8CgC

A%KC!#P%K.
H$-A '
H'!$OjP  21
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Ñaùnh giaù ALTP (PVD) ALD9MP (PAP)
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
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Ñaùnh giaù chöùc naêng taâm thu TP:
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
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