心脏与大血管医.ppt

心脏与大血管;前 言;检查方法;一、心脏与心包;（一）检查技术;检查技术;投影示意图;检查技术;Coronary artery aneurysm (Kawasaki disease) at four–detector row CT;CT of CAD;LAD支架植入术后，管腔通畅;冠脉搭桥术后，右冠及对角支桥血管闭塞，内乳动脉桥通畅;检查技术;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;MRA;CT;检查技术;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;PTCA;（二）影像观察与分析;正常X线表现;价值及限度;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;正常心影：后前位;3弓或4弓 主动脉 肺动脉 (左心耳) 左心室;LA RA;正常心影：左前斜位;正常心影：左侧位;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;心脏大血管的形态;1. 心胸比率 = 0.5 正常0.51-0.55轻度大0.56-0.60中度大 0.60 重度大;心脏大血管CTA;影响心脏大血管的生理因素;基本病变表现;1、位置异常;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;2、形态和大小异常;整体形态异常;二尖瓣型 主动脉 普大型;基本病变：左心室增大;基本病变：左心室增大;左心室增大;左心室增大;左心室增大;左心室增大：后前位;左心室增大：后前位;左心室增大：右前斜;左心室增大：左前斜;;左心室增大：左侧位;;左心室增大;后前位 肺动脉突出，心呈二尖瓣型 右前斜位 心前缘下段膨隆 ， 心前间隙消失 左前斜位 左侧位 心室隔段延长， 室间沟向后上移位;右心室增大：后前位;右心室增大：右前斜;右心室增大：左前斜;右心室增大：左侧位;右心室增大;右心室增大;基本病变：左心房增大;左心房增大：后前位;左心房增大：后前位;左心房增大：右前斜;左心房增大：右前斜;左心房增大: 左前斜;左心房增大: 左前斜;左心房增大: 左侧位;基本病变：右心房增大;右心房增大;右心房增大：后前位;右心房增大：右前斜;右心房增大：左前斜;右心房增大;基本病变：左右心室同时增大;普遍增大型心脏;内部结构异常;3、运动异常;4、冠状动脉异常;5、血流异常;6、心包病变;6、心包病变;心包积液;心包钙化;心包炎CT表现 ;心包炎MRI表现 ;比较影像学;X线检查;超声心动图;MSCT（EBCT MRI）;心血管造影;（三）疾病诊断;风湿性心脏病(rh