(精选)【医学课件课件】心脏瓣膜病教学课件.pptVIP

Valvular Heart Disease;Introduction;Mitral Stenosis;Pathology;Valve orifice area  normal 4-6cm2 mild stenosis 1.5--2.0cm2 moderate stenosis 1.0—1.5cm2 severe stenosis 1.0cm2;Two types:  1．Septum type 2．Funnel type; 1．Septum type ·only leaflets involved, without obvious shortening ·rare complicated with incompetence due to good elasticity of leaflets ·no dilation of LV ·prominent S1, with opening snap ·percutaneous balloon valvuloplasty is preferred to relieving the stenosis; 2．Funnel type ·leaflet, chordae tendineae and papillary muscle are all invloved · common complicated with incompetence due to poor elasticity of leaflets  ·S1 decrease ·valvular replacement is preferred to relieving the stenosis;Mechanisms of clinical manifestation: pulmonary venous congestion, pulmonary edema – similar with ↗ left heart failureLA failure ↘pulmonary hypertension, right ventricular hypertrophy – right heart failure? ↗ down transfer of elevated LA pressure main causes → reactive constriction of pulmonary arterioles of pulmonary →obstructive changes of pulmonary vascular bed hypertension ↘recurrent pulmonary infection and overfatigue;Pathophysiology;Clinical manifestion;Clinical symptoms;Auxiliary examination;;;Diagnosis and differential diagnosis;complication;Treatment ;Treatment;Treatment;;Mitral Incompetence ;Etiology and pathology;Etiology and pathology;Pathophysiology;Clinical manifestion;Signs;Auxiliary examination;;Diagnosis and differential diagnosis;Diagnosis and differential diagnosis;complication;treatment;Therapy;Treatment;; Aortic Stenosis (AS);AS;AS;AS;;AS;AS;AS;AS;AS;AS;AS;AS;AS;AS;AS;;AS;AS;Differential diagnosis;AS;complication;Treatment;Treatment ;;Aortic Incompetence;Etiology and pathology;Etiology and pathology;Etiology and pathology;Pathophysiology;Clinical manifestation;Sign ;Sign;Sign ;Auxiliary exam