文档介绍:心脏瓣膜病TheFirstAffiliatedHospitalofGuangzhouMedicalUniversityDepartmentofCardiovascularChenailan(陈爱兰)ValvularHeartDiseaseRheumaticFeverDefinition:alinfection,cross-alantigensandstructuralglycoproteinofheart,joints,centralnervessystemandconnectivetissueRheumaticHeartDiseaseInflammatoryprocessthatmayaffectthemyocardium,pericardiumandorendocardiumUsuallyresultsindistortionandscarringofthevalvesRheumaticHeartDisease,–mayormaynotbepresentObjectivesymptomsTemperatureMurmursDyspneapolyarthritisRheumaticHeartDiseaseDiagnosisH/PWBCandESRC-reactiveproteinCardiacenzymesEKGChestx-athCardiacoutputRheumaticHeartDiseaseNursingCareVitalsignsRestandquietenvironmentGiveantibiotics,digitalis,anddiureticsProvideadequatenutritionMonitorISOExplaintreatmentandhomecareWhatAretheTypesofValveDisease?Thereareseveraltypesofvalvularheartdisease,include:1)Valvularstenosis:Whenavalveopeningissmallerthannormal2)ValvularInsufficiency/REGURGITATION:occurswhenavalvedoesnotclosetightly,–causesRtHFTricuspidregurgitation–causesvenousoverload