动脉导管未闭的症状若何表现(国外英文资料).docVIP

动脉导管未闭的症状如何表现(国外英文资料) / How are the symptoms of an arterial catheter not closed Arterial catheter oale is one of the most common type of congenital heart disease in children, accounting for 15% of the total incidence of congenital heart disease, fetal ductus passive open is an important channel of the circulation of blood, after birth, about 15 hours or functional closed, 80% to close within 3 months after birth anatomical sex. By the end of the year, the anatomy should be completely closed. If it continues to be open, and it produces pathology, physiological changes, which are called arterial catheters. 【 symptoms 】 1, has not been closed, symptoms artery catheter small artery catheter can be clinically asymptomatic, catheter bulky can cough, wheeze, feeding difficulties and poor growth and development, etc. 2, signs above sternal left margin a continuity machine noise, of the systolic and diastolic, in the end systolic the loudest, noise conduction, left subclavian, neck and back when increased pulmonary vascular resistance, noise of diastolic component may decrease or disappear. The shunt is based on the relative relativity of the mitral valve and the short diastolic murmurs. Pulmonary valve area the second tone enhancement, infants and young children period because of the pulmonary artery pressure is higher, the Lord, had not significant difference in diastolic pulmonary artery pressure, thus often only hear systolic murmurs, when merge pulmonary hypertension or heart failure, only more systolic murmurs, due to the diastolic blood pressure lowering, broadening pulse pressure difference, and can appear peripheral vascular signs, such as water flush of arteries and veins, nail bed capillary pulsation, etc. 3, births artery catheter is not closed, appear around pulses, subclavian or smell and systolic murmurs between shoulder blade (I smell and continuous) the area before the heart beats, increase liver, promote, and prone to respiratory failure and rely on mechan