| 词条 | Watson's water hammer pulse |
| 释义 |
Watson's water hammer pulse, also known as Corrigan's pulse or collapsing pulse, is the medical sign which describes a pulse that is bounding and forceful,[1] rapidly increasing and subsequently collapsing,[2] as if it were the sound of a waterhammer that was causing the pulse. A water hammer was a Victorian toy in which a tube was half filled with fluid, the remainder being a vacuum. Each time the tube was inverted or shaken, the impact of the fluid at each end would sound like a hammer blow.[3] This is associated with increased stroke volume of the left ventricle and decrease in the peripheral resistance leading to the widened pulse pressure of aortic regurgitation. DiagnosisTo feel a water hammer pulse: with the patient reclining, the examiner raises the patient's arm vertically upwards. The examiner grasps the muscular part of the patient's forearm. A water hammer pulse is felt as a tapping impulse which is transmitted through the bulk of the muscles. This happens because the blood that is pumped to the arm during systole is emptied very quickly due to the gravity effect on the raised arm. This results in the artery emptying back into the heart during diastole, therefore causing a palpable pulse. CausesWater hammer pulse is commonly found when a patient has aortic regurgitation. It can also be seen in other conditions which are associated with a hyperdynamic circulation. A more comprehensive list of causes follows:
Eponym"Watson's water hammer pulse" and "Corrigan's pulse" refer to similar observations. However, the former usually refers to measurement of a pulse on a limb, while the latter refers to measurement of the pulse of the carotid artery.[1]
See also
References1. ^1 2 {{cite journal |author=Suvarna JC |title=Watson's water hammer pulse |journal=J Postgrad Med |volume=54 |issue=2 |pages=163–5 |year=2008 |pmid=18480541 |doi= 10.4103/0022-3859.40791|url=http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=163;epage=165;aulast=Suvarna}} {{Eponymous medical signs for circulatory and respiratory systems}}2. ^{{cite book |author1=Elizabeth D Agabegi |author2=Agabegi, Steven S. |title=Step-Up to Medicine (Step-Up Series) |publisher=Lippincott Williams & Wilkins |location=Hagerstwon, MD |year=2008 |pages= |isbn=0-7817-7153-6 |oclc= |doi= |accessdate=}} 3. ^https://www.youtube.com/watch?v=Kb6feUfHgAU 4. ^{{WhoNamedIt|synd|3006}} 5. ^D. J. Corrigan. On permanent patency of the mouth of the aorta, or inadequacy of the aortic valves. The Edinburgh Medical and Surgical Journal, 1832, 37: 225-245. 1 : Symptoms and signs: Cardiac |
| 随便看 |
|
开放百科全书收录14589846条英语、德语、日语等多语种百科知识，基本涵盖了大多数领域的百科知识，是一部内容自由、开放的电子版国际百科全书。