Spleen atrophy

Introduction Chronic right heart failure: When valvular heart disease occurs in chronic right heart failure, the spleen often does not enlarge due to venous blood stasis, but spleen atrophy often occurs due to lack of oxygen. Spleen atrophy, that is, the size of the spleen is reduced, which may be local arterial embolism or spleen necrosis. Therefore, your condition must be further examined and necessary drug conditioning. Often occurs in middle-aged and elderly people.

Cause

The spleen belongs to the internal organs and is rich in blood supply. The atrophy may be caused by hardening or other diseases. The general symptoms are: anemia or pain. Chronic right heart failure patients: When valvular heart disease occurs in chronic right heart failure, the spleen often not only does not enlarge due to venous blood stasis, but often spleen atrophy due to hypoxia, which often occurs in the elderly.

The disease must be differentiated from human atelectasis, spontaneous pneumothorax, persistent asthma state, upper respiratory airway obstruction, acute pulmonary embolism, cerebrovascular accident and cardiogenic pulmonary edema. By asking about medical history, physical examination and chest x-ray Apricot can be identified.

an examination

Related inspection

Liver, gallbladder, spleen CT examination of blood spleen ultrasound examination

Including blood routine examination, platelet count, reticulocyte count, eosinophil count, careful blood cell card examination is helpful to find pathological blood cells and other abnormal cells. Hemoglobin electrophoresis, erythrocyte fragility test, acid hemolysis (Ham), direct anti-human globulin (Combs) blood parasite, protozoan examination, liver function test, bone marrow examination or bone marrow biopsy. Serological antigen antibody examination; lymph node puncture or biopsy, splenectomy or biopsy, ascites routine examination.

Differential diagnosis

The disease must be differentiated from human atelectasis, spontaneous pneumothorax, persistent asthma state, upper respiratory airway obstruction, acute pulmonary embolism, cerebrovascular accident, and cardiogenic pulmonary edema. Identification can be made by asking about medical history, physical examination, and chest X-ray examination. Patients with cardiogenic pulmonary edema have difficulty breathing when they are in bed. Cough pink foam-like sputum, wet sound at the bottom of both lungs, better treatment for cardiac, diuretic, etc. If there is difficulty, it can be identified by measuring PAwP and echocardiography.

Including blood routine examination, platelet count, reticulocyte count, eosinophil count, careful blood cell card examination is helpful to find pathological blood cells and other abnormal cells. Hemoglobin electrophoresis, erythrocyte fragility test, acid hemolysis (Ham), direct anti-human globulin (Combs) blood parasite, protozoan examination, liver function test, bone marrow examination or bone marrow biopsy. Serological antigen antibody examination; lymph node puncture or biopsy, splenectomy or biopsy, ascites routine examination.

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