MindMap Gallery Cyanosis mind map
This is a mind map about cyanosis, including the cause, definition, mechanism, accompanying symptoms, etc. Hope this helps!
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Cyanosis
definition
Cyanosis refers to an increase in reduced hemoglobin in the blood, or the presence of abnormal hemoglobin derivatives, causing the skin and mucous membranes to appear bluish-purple. It is also called cyanosis.
It often occurs in areas with thin skin, less pigment and rich capillaries, such as lips, nail beds, etc.
Cause
Increased reduced hemoglobin in the blood (true cyanosis)
central cyanosis
Features
Glycyanosis is systemic. In addition to the face and limbs, it also affects the trunk, but the skin of the affected area is warm.
Cyanosis is mostly caused by respiratory failure caused by cardiopulmonary disease, ventilation dysfunction, insufficient pulmonary oxygenation, resulting in reduced blood oxygen saturation.
Pulmonary cyanosis
Due to respiratory insufficiency and insufficient pulmonary oxygenation
Commonly seen in bronchial obstruction pneumonia, chronic obstructive pulmonary disease, diffuse interstitial pulmonary fibrosis, etc.
Cardiac mixed cyanosis
Due to abnormal channel shunting, part of the venous blood level enters the systemic circulation arteries through the oxygenation of the lungs. Cyanosis will occur if the shunting amount exceeds 1/3 of the cardiac output.
Common in tetralogy of Fallot
peripheral cyanosis
definition
It occurs at the ends of limbs and sagging areas. The skin of the affected area is cold, but friction or heating can warm the skin and the cyanosis can subside.
Cyanosis is caused by obstruction of peripheral circulation blood flow
stasis peripheral cyanosis
Seen in diseases that cause blood stasis in the systemic circulation and slow peripheral blood flow
Such as right heart failure, effusion pericarditis, cardiac tamponade, constrictive pericarditis, etc.
ischemic peripheral cyanosis
Commonly seen in diseases that cause reduced cardiac output and local blood flow disorders
Examples include severe shock, exposure to cold and thromboangiitis obliterans, Raynaud's disease
mixed cyanosis
Both coexist and can be seen in heart failure, etc.
The presence of abnormal hemoglobin derivatives in the blood
Methemoglobinemia
congenital
Congenital methemoglobinemia and cyanosis since childhood without heart or lung disease, other causes of abnormal hemoglobin
Acquired nature
Poisoning by various chemicals or drugs causes the divalent iron in the hemoglobin molecule to be replaced by trivalent iron, causing it to lose its ability to bind oxygen.
Cyanosis may occur when the amount of methemoglobin in the blood reaches 30 g/L
Features
It appeared suddenly, and the venous blood drawn was dark brown. Oxygen therapy was given, but the cyanosis could not be improved. Only intravenous injection of methylene blue or a large amount of vitamin C could the cyanosis subside.
Toxic hyperferritinemia caused by eating large amounts of spoiled vegetables containing nitrite can also cause cyanosis, which is called enterogenic cyanosis.
hemoglobinemia
It is an acquired disease. After taking certain sulfur-containing drugs or chemicals, cyanosis will occur if the sulfated hemoglobin in the blood reaches 5 grams/liter.
Cyanosis is characterized by long duration, which can last for more than several months, and the blood is blue-brown.
The mechanism
Cyanosis is caused by an increase in the absolute amount of reduced hemoglobin in the blood
When the reduced hemoglobin in the capillaries exceeds 50 g/L, cyanosis may occur in the skin and mucous membranes
accompanying symptoms
accompanied by difficulty breathing
Common in severe cases, pulmonary and heart diseases, acute respiratory obstruction, massive pneumothorax, etc.
With finger clubbing
Common in cyanotic congenital heart disease (tetralogy of Fallot) and certain chronic lung diseases
With disturbance of consciousness
Common in pulmonary encephalopathy, poisoning by certain drugs or chemicals, shock, lung infection or acute heart failure, etc.