異常頸靜脈搏動的臨床信息

Finding檢查結(jié)果

Comment/significance臨床意義

Markedly raised central venous pressure, accentuated X and Y descent

中心靜脈壓顯著增強(qiáng)，X、Y下降明顯

• Cardiac tamponade心臟填塞
• Constrictive pericarditis縮窄性心包炎
• Endocardial fibroelastosis心內(nèi)膜纖維彈力組織增生
• Severe right-heart failure嚴(yán)重右心衰

Large A waves

大A波

• Pulmonary valvular stenosis肺瓣膜狹窄
• Hypertension高血壓
• Various arrhythmias where atria contract against closed AV valve (e.g., junctional rhythm, AV dissociation) 各種心律不齊，此時，AV瓣膜關(guān)閉而心房收縮（如交界區(qū)心律、AV分離)醫(yī).學(xué)全.在.線網(wǎng)站gydjdsj.org.cn

Absent A wave無A波

• Atrial fibrillation房性纖顫

Large V wave大V波

• Tricuspid regurgitation三尖瓣反流