儿科学精品课件：先天性心脏病.pptVIP

4.Other murmurs: Middiastolic murmur :due to relative tricuspid stenosis . Early diastolic murmur:due to pulmonary insufficiency . Manifestations X—ray 1.Right atrium and right ventricle enlarged. 2.Pulmonary plethora with increased lung marking. 3.Radioscopy shows “hilar dance”. ECG 1.Right ventricular hypertrophy; 2.Right bundle branch block. MRI Cardiac catheterization Angiocardiography Complications 1. Pulmonary vascular disease Acquired Eisenmenger’s Syndrome. 2. Heart Failure 3. Atrial Fibfillation 4. Infection endocarditis Prognosis The prognosis in ASD is good even without surgical treatment, and if an operation is performed before symptoms develop,the patient should have a normal life expectancy. Interventional therapy Treatment Typing 1. Tubifom 2. Choanoid 3. Fenestrate Hemodynamics Systemic blood undersupply Aorta Ductus Systemic diastolic arteriosus hypotension Pulmonary artery Peripheric vessel’sign Pulmonary hyperaemia Pulmonary hypertension Left atrial enlarged Right ventricular hypertrophy Left ventricular hypertrophy R—L shunts Manifestations Symptoms ( large shunts ): Before pulmonary hypertension: Heart failure After pulmonary hypertension: Dyspnea on exertion Differential cyanosis Signs:“machinery” murmur Manifestations S1 S2 PDA堵闭前心音图 S1 S2 PDA堵闭后心音图 Manifestations Manifestations Large shunts: cardiac enlargement wide pulse pressure middiastolic murmur The ECG is of normal w