[Cơ chế triệu chứng số 224] Tiếng thổi tĩnh mạch gan

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I. MÔ TẢ

Là tiếng thổi trầm, nghe được ở vùng gan với mặt chuông của ống nghe.

II. NGUYÊN NHÂN

• Tăng áp lực tĩnh mạch cửa
• U máu gan lớn
• Khối máu tụ trong gan

III. CƠ CHẾ

Tiếng thổi tĩnh mạch gan khi có tăng áp lực TM cửa là do một dòng máu chảy từ hệ thống mạch cửa có áp suất cao hơn sang hệ thống mạch nhánh có áp suất thấp hơn, tạo ra một “tiếng ồn” liên tục.

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