室距离缺损的辨别诊断方法(国外英文资料).docVIP

室间隔缺损的鉴别诊断方法(国外英文资料) / Differential diagnosis method of ventricular septal defect Ventricular septal defect refers to the interventricular septum in embryo hypoplasia, the formation of abnormal traffic, left to right shunt in ventricular level, it can exist alone, but also a part of the complex cardiac anomalies. Lack of room is the most common congenital heart disease. According to history, signs, radiation, and electrocardiogram examination, coupled with angiography and cardiovascular imaging, diagnosis is not difficult, however, when establish the diagnosis, and identify the following diseases. (1) atrial septal defect 1, the primary hole defect and ventricular septal defect is not easy to identify, especially associated with pulmonary hypertension, the primary hole defect is soft, noise is often right ventricular hypertrophy, with mitral valve division can appear left ventricular hypertrophy, electrocardiogram (ecg) stage was extended, the common between P and R heart vector diagram facies frontalis QRS loop counter clock to run, the largest vector to left, the main body of ring move upwards to the left, has identified value, but it is the most reliable angiography, application of echocardiography and differential diagnosis significance of the left ventricle - differential diagnosis should be pay attention to the defects of right atrium. 2, secondary pore defects: blowing sample systolic murmurs softer and parts between sternum left edge rib 2, for the most part without a tremor, electrocardiogram (ecg) in incomplete right bundle branch block or right ventricular hypertrophy, without left ventricular hypertrophy, facies frontalis QRS loop is along the clock to run more, the main body of downward to the right. The pulmonary artery stenosis The systolic murmurs of the valve type of pulmonary artery are located in the second rib of the left margin of the sternum, and are generally not confused with the murmur of the ventricular septal defect. Funnel type of pulmon